| NPI | 1083022818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK WADLINGTON Practice Administrator 615-515-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18912) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |