Individual
KIMBERLY LORRAINE STAKES EUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
APRN
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5000
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
39250
TN
363L00000X
Nurse Practitioner
39250
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
39250
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q107349
—
TN
Enumeration date
07/24/2025
Last updated
12/10/2025
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