PINEWOOD MEDICAL LLC NPI 1073983920

NPI Information

NPI: 1073983920
Provider Name: PINEWOOD MEDICAL LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2110709

Address:
3499 HIGHWAY 70 W
DICKSON, TN
ZIP 37055
Phone: (615) 512-4099
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PINEWOOD MEDICAL LLC is a family nurse practitioner in Dickson, TN. PINEWOOD MEDICAL LLC NPI is 1073983920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3499 HIGHWAY 70 W
DICKSON, TN
ZIP 37055-234
Phone: (615) 512-4099

The provider's authorized official is Susan Orsbon .
The authorized official title is Owner and has the following contact phone number (615) 512-4099.

The CLIA number assigned to this NPI record is 44D2110709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2015 and was last updated on 10/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	19587	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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