| NPI | 1033917992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD HALES Credendialing Coordinator 615-403-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |