Organization
VANDERBILT INTEGRATED PROVIDERS, LLC
Active
Other names
Vanderbilt Integrated Providers
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MONACI (VICE PRESIDENT)
(615) 936-3944
Entity
Organization
Contact information
Practice address
1161 21ST AVE S, NASHVILLE, TN 37232-9339
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65932329
—
KY
Enumeration date
07/22/2006
Last updated
03/31/2022
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