Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 24533 | TN |
N | 207Q00000X | Family Doctor | 24533 | TN |
N | 363L00000X | Nurse Practitioner | 24533 | TN |
NPI | 1811471485 |
---|---|
Provider Name | Diana Wells-English |
First Address | Nashville, TN 37204-3609 |
Second Address | Nashville, TN 37232-5067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2018 |
Last Update Date | 15/10/2020 |