MEDICARE: DAISY ADELE CIENER

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	208000000X	Pediatrics Physician	60669	WI
2	208000000X	Pediatrics Physician	35-099837	OH
3	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	60669	WI
4	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	54004	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851525109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAISY ADELE CIENER

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	:	615-936-3898
Fax Number	:	615-322-4374

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY STE 1014
Second Line	:	PEDIATRIC EMERGENCY MEDICINE
City	:	NASHVILLE
State	:	TN
Zip	:	37232-9001
Country	:	US
Telephone Number	:	615-936-3898
Fax Number	:	615-322-4374

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

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	03/25/2022

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Directions to “ DAISY ADELE CIENER ” Practice Location

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