Individual
AMANDA GWIN VANTREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP-BC
Contact information
Practice address
250 25TH AVE N, STE 100, NASHVILLE, TN 37203-1632
(615) 320-5090
(615) 320-1225
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 320-5090
(615) 320-1225
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
15785
TN
Other
Enumeration date
02/10/2012
Last updated
04/11/2012
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