Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | LL31175 | SC |
N | 208600000X | Surgeon | LL31175 | SC |
N | 208200000X | Surgeon | MD54420 | TN |
N | 208600000X | Surgeon | MD54420 | TN |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 106897 | MN |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 56884 | MN |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD54420 | TN |
NPI | 1073777470 |
---|---|
Provider Name | Dr. Erin Alexis Gillaspie |
First Address | Nashville, TN 37204-3609 |
Second Address | Nashville, TN 37232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ENROLLED | (05) | IA |
ENROLLED | (05) | MN |