Spiras Health Of New Jersey, LLC
Nurse Practitioner, Family in Brentwood, TN. Organization (NPI-2).
NPI number1053906263
StatusActive
Last updated in NPPESMar 9, 2021
Details
- NPI
- 1053906263
- Entity type
- Organization (NPI-2)
- Legal business name
- Spiras Health Of New Jersey, LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 9, 2021
- Certification date
- Mar 9, 2021
- Last updated
- Mar 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
5214 Maryland Way Ste 210Brentwood, TN 37027-5071
Phone 615-403-0631
Mailing address
5214 Maryland Way Ste 210Brentwood, TN 37027-5071
Phone 615-403-0631
Authorized official
Brook Bishop
President
6154030631
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