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Organization

EVERGREEN NEPHROLOGY OF NEW YORK PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STANLEY CRITTENDEN MD (OWNER)
(615) 270-6505
Entity
Organization

Contact information

Practice address
210 ATHENS WAY STE 200, NASHVILLE, TN 37228-1308
(615) 270-3505
Mailing address
210 ATHENS WAY STE 200, NASHVILLE, TN 37228-1308
(615) 270-3505

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
133V00000X
Registered Dietitian
163W00000X
Registered Nurse
164W00000X
Licensed Practical Nurse
164X00000X
Licensed Vocational Nurse
183500000X
Pharmacist
207R00000X
Internal Medicine Physician
207RN0300X
Nephrology Physician
Primary
2084P0800X
Psychiatry Physician
213E00000X
Podiatrist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/07/2024
Last updated
02/07/2024
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