| NPI | 1285315754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD HALES Credentialing 615-403-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-09-06 |