MEDICARE: MRS. WENDY FIELDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10738	TN

General Provider Information

NPI Number	:	1144513706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WENDY FIELDER

Provider Business Mailing Address
First Line	:	114 MAYFAIR RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-1826
Country	:	US
Telephone Number	:	615-335-3778
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 FRANKLIN RD STE 100
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-3218
Country	:	US
Telephone Number	:	615-373-8957
Fax Number	:	615-376-4161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2011
Last Update Date	:	05/16/2011

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