Individual
NICOLE VAN ETTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0014
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5997
TN
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
05/30/2024
Last updated
09/24/2024
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