Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 28594 | TN |
NPI | 1073106324 |
---|---|
Provider Name | Ms. Angela Marie Nunn |
First Address | Nashville, TN 37216-2924 |
Second Address | Nashville, TN 37216-2924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2021 |
Last Update Date | 18/02/2021 |