Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 30385 | TN |
NPI | 1023770898 |
---|---|
Provider Name | Emma Ruth Metz |
First Address | Nashville, TN 37203-5296 |
Second Address | Nashville, TN 37206-3603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2021 |
Last Update Date | 09/10/2021 |