Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | C10006138 | DE |
Y | 2080P0208X | Pediatric Infectious Diseases | MD46533 | TN |
NPI | 1497806178 |
---|---|
Provider Name | Dr. M. Cecilia Di Pentima |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 28/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001848129 | (05) | PA |
02646380 | (05) | PA |
6998003 | (05) | MD |
8542503 | (05) | NJ |
H53732 | (02) |