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NPI Code Detail

MEDICARE: CORALIE LECOGUIC APN

MEDICARE: CORALIE LECOGUIC APN
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
1163W00000XRegistered Nurse170482TN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner16559TN

General Provider Information

NPI Number : 1699907766
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORALIE LECOGUIC APN
Provider Business Mailing Address
First Line : 1900 BELMONT BLVD
Second Line : GABHART CENTER, SUITE 218
City : NASHVILLE
State : TN
Zip : 37212-3757
Country : US
Telephone Number : 615-460-5104
Fax Number : 615-460-8034
Provider Business Practice Location Address
First Line : 1900 BELMONT BLVD
Second Line : GABHART CENTER, SUITE 218
City : NASHVILLE
State : TN
Zip : 37212-3757
Country : US
Telephone Number : 615-460-5104
Fax Number : 615-460-8034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2009
Last Update Date : 02/13/2026

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