Individual
MICHELLE THERESA FAVULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0004
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210762
TN
163W00000X
Registered Nurse
RN2280902
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
30439
TN
363LF0000X
Family Nurse Practitioner
30439
TN
Other
Enumeration date
01/14/2020
Last updated
03/25/2022
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