| NPI | 1467486597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M ANDERSON Owner 615-206-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN11629) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |