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NPI Code Detail

MEDICARE: KATHERINE SHRADER DOWDALL NP-C

MEDICARE: KATHERINE SHRADER DOWDALL NP-C
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
1363LF0000XFamily Nurse Practitioner24103TN

General Provider Information

NPI Number : 1487158721
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SHRADER DOWDALL NP-C
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-2813
Country : US
Telephone Number : 615-936-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 03/31/2022

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