Nicholas Hulshof Lane, NP
Nurse Practitioner, Family in Westmoreland, TN. Individual provider (NPI-1).
NPI number1164045506
StatusActive
Last updated in NPPESNov 3, 2022
Details
- NPI
- 1164045506
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Hulshof Lane
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2020
- Certification date
- Nov 3, 2022
- Last updated
- Nov 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26526 | TN | Yes |
Practice location
1124 New Highway 52 EWestmoreland, TN 37186-5032
Phone 615-644-2000
Mailing address
5600 Country Dr Apt 153Nashville, TN 37211-6460
Phone 615-495-4197
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