MEDICARE: MIA PRETORIUS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1255287694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIA PRETORIUS

Provider Business Mailing Address
First Line	:	3910 MURPHY RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 BELMONT BLVD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3757
Country	:	US
Telephone Number	:	615-460-6000
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

Similar Medicare Providers

1073469425 — ALLISON BYRN
Practice Location Address:

1900 BELMONT BLVD
NASHVILLE, TN
37212-3757

Practice Phone: 615-460-8128
Practice Fax:

1043166499 — MEGAN MCCARVER
Practice Location Address:

1900 BELMONT BLVD
NASHVILLE, TN
37212-3757

Practice Phone: 615-460-6040
Practice Fax:

1477515732 — RACHEL AHOLT PMHNP AND CFNP
Practice Location Address:

1900 BELMONT BLVD
NASHVILLE, TN
37212-3757

Practice Phone: 615-460-5506
Practice Fax:

1881726453 — DR. KELLIANN DOHERTY CHIDSEY M.D.
Practice Location Address:

1900 BELMONT BLVD. , BELMONT UNIVERSITY STUDENT HEALTH SERVICES
NASHVILLE, TN
37212-3757

Practice Phone: 615-460-5506
Practice Fax: 615-460-6131

1083860878 — DR. TRACY FRAME PHARM.D.
Practice Location Address:

1900 BELMONT BLVD
NASHVILLE, TN
37212-3757

Practice Phone: 615-460-5916
Practice Fax:

1699907766 — CORALIE LECOGUIC APN
Practice Location Address:

1900 BELMONT BLVD , GABHART CENTER, SUITE 218
NASHVILLE, TN
37212-3757

Practice Phone: 615-460-5104
Practice Fax: 615-460-8034

Directions to “ MIA PRETORIUS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.