MEDICARE: XIAOMIAO LAN-PIDHAINY PMHNP-ANCC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	40510	TN

General Provider Information

NPI Number	:	1598584476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOMIAO LAN-PIDHAINY PMHNP-ANCC

Provider Business Mailing Address
First Line	:	2410 PATTERSON ST STE 210
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 PATTERSON ST STE 210
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1553
Country	:	US
Telephone Number	:	725-666-1636
Fax Number	:

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

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	01/09/2026

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Directions to “ XIAOMIAO LAN-PIDHAINY PMHNP-ANCC” Practice Location

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