Individual
CAROLINE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 STATE ST, NASHVILLE, TN 37203-2209
(615) 284-2018
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-7283
(615) 806-6713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
204289
TN
363LF0000X
Family Nurse Practitioner
Primary
26491
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q052253
—
TN
Enumeration date
08/22/2019
Last updated
10/02/2019
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