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NPI Code Detail

MEDICARE: ELITE PAUL CNM

MEDICARE: ELITE PAUL CNM
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
1367A00000XAdvanced Practice Midwife31888TN

General Provider Information

NPI Number : 1235860248
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELITE PAUL CNM
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number : 615-322-3020
Fax Number :
Provider Business Practice Location Address
First Line : 719 THOMPSON LN STE 27100
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4684
Country : US
Telephone Number : 615-343-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2022
Last Update Date : 10/13/2022

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Directions to “ ELITE PAUL CNM” Practice Location

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