Individual
MRS. ETHEL M ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
404 DR DB TODD JR BLVD, SUITE 200, NASHVILLE, TN 37203-2896
(615) 291-9923
(615) 678-6470
Mailing address
404 DR DB TODD JR BLVD, SUITE 200, NASHVILLE, TN 37203-2896
(615) 291-9923
(615) 678-6470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0256063-22
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992892574
MEDICARE NPI
TN
05
—
33440461
—
TN
Enumeration date
10/06/2006
Last updated
08/03/2016
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