MEDICARE: DR. WHITNEY LYNN MANUEL AU.D.

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	231H00000X	Audiologist	1789	TN

General Provider Information

NPI Number	:	1225477623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WHITNEY LYNN MANUEL AU.D.

Provider Business Mailing Address
First Line	:	1215 21ST AVE S STE 9302MCE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-8025
Country	:	US
Telephone Number	:	615-936-2808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 21ST AVE S STE 9302MCE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2619
Country	:	US
Telephone Number	:	615-936-2808
Fax Number	:

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

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	10/19/2020

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