Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 28618 | TN |
NPI | 1053086074 |
---|---|
Provider Name | Carly Ezell Warfield |
First Address | Nashville, TN 37203-1513 |
Second Address | Nashville, TN 37203-1513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2021 |
Last Update Date | 11/08/2021 |