MEDICARE: HEATHER DEL CARMEN APRN-RX

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	363LF0000X	Family Nurse Practitioner	1649	HI
2	363LF0000X	Family Nurse Practitioner	20844	TN

General Provider Information

NPI Number	:	1851720353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DEL CARMEN APRN-RX

Provider Business Mailing Address
First Line	:	4805 COLUMBIA PIKE
Second Line	:
City	:	THOMPSONS STATION
State	:	TN
Zip	:	37179-5207
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	4805 COLUMBIA PIKE
Second Line	:
City	:	THOMPSONS STATION
State	:	TN
Zip	:	37179-5207
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

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

Provider Enumeration Date	:	11/05/2013
Last Update Date	:	06/26/2021

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Directions to “ HEATHER DEL CARMEN APRN-RX” Practice Location

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