| NPI | 1457651911 |
|---|---|
| Former Legal Business Name | NASHVILLE PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | ROSE WIDENER Provider 615-516-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11005) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |