Individual
KATHY PHAN HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
300 20TH AVE N FL 8, NASHVILLE, TN 37203-2170
(615) 284-1400
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-4088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
33097
TN
363LF0000X
Family Nurse Practitioner
33097
TN
363LP2300X
Primary Care Nurse Practitioner
33097
TN
Other
Enumeration date
12/30/2022
Last updated
06/06/2023
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