Healthcare Provider Details

I. General information

NPI: 1750200192
Provider Name (Legal Business Name): MARCELLA BICHARA GUIMARAES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MALLORY LN STE 122
FRANKLIN TN
37067-8231
US

IV. Provider business mailing address

1043 WISEMAN FARM RD
FAIRVIEW TN
37062-1425
US

V. Phone/Fax

Practice location:
  • Phone: 615-479-0435
  • Fax:
Mailing address:
  • Phone: 615-479-0435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: