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Individual

DR. KRISTIN ASHLEY VAN HEERTUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
345 23RD AVE N STE 401, NASHVILLE, TN 37203
(615) 277-2410
Mailing address
345 23RD AVE N STE 401, NASHVILLE, TN 37203-1513
(615) 277-2410

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MT201230
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD0000057900
TN
390200000X
Student in an Organized Health Care Education/Training Program
35-127847
OH

Other

Enumeration date
06/19/2012
Last updated
06/25/2019
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