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NPI Code Detail

MEDICARE: DR. HEATHER ELAINE MAUNE M.D.

MEDICARE: DR. HEATHER ELAINE MAUNE M.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
1207V00000XObstetrics & Gynecology Physician51297TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151297OTHERTNTN MEDICAL LICENSE

General Provider Information

NPI Number : 1245556216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER ELAINE MAUNE M.D.
Provider Business Mailing Address
First Line : 300 20TH AVE N STE 403
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-5180
Country : US
Telephone Number : 615-284-4088
Fax Number :
Provider Business Practice Location Address
First Line : 300 20TH AVE N STE 302
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2179
Country : US
Telephone Number : 615-284-2988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2010
Last Update Date : 10/01/2024

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