Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 1965 | TN |
NPI | 1184193039 |
---|---|
Provider Name | Dr. Rebecca Ann Hansmann |
First Address | Nashville, TN 37214-2819 |
Second Address | Nashville, TN 37214-2819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2018 |
Last Update Date | 21/11/2018 |