Organization
RIVERSIDE VILLAGE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA SIMMONS NP (NURSE PRACTITIONER)
(615) 477-6213
Entity
Organization
Contact information
Practice address
1406 MCGAVOCK PIKE STE B, NASHVILLE, TN 37216-3233
(615) 997-1851
Mailing address
1406 MCGAVOCK PIKE STE B, NASHVILLE, TN 37216-3233
(615) 997-1851
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
12987
TN
261QP2300X
Primary Care Clinic/Center
Primary
12987
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341010
—
TN
Enumeration date
05/15/2017
Last updated
07/21/2022
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