Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 18336 | TN |
NPI | 1003232927 |
---|---|
Provider Name | Mrs. Emily A Hiatt |
First Address | Nashville, TN 37230-6088 |
Second Address | Nashville, TN 37203-1028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2014 |
Last Update Date | 16/04/2014 |