MEDICARE: SANJANA PATEL STAMM RN, ANP

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	363LA2200X	Adult Health Nurse Practitioner	APN0000008488	TN

General Provider Information

NPI Number	:	1609981935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANJANA PATEL STAMM RN, ANP

Provider Business Mailing Address
First Line	:	1002 KIDRON WAY
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-1717
Country	:	US
Telephone Number	:	615-824-6364
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 CHARLOTTE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4129
Country	:	US
Telephone Number	:	615-340-5616
Fax Number	:

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	06/02/2016

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