| NPI | 1922546787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE M WALDEN Practice Manager 615-754-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 21959) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |