Individual
MATTHEW STEPHEN VORMBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2364
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.416878
OH
367500000X
Certified Registered Nurse Anesthetist
28286737A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
31214
TN
Other
Enumeration date
07/14/2021
Last updated
02/23/2024
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