Healthcare Provider Details

I. General information

NPI: 1316467442
Provider Name (Legal Business Name): RACHELLE VANMETER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 02/01/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5653 FRIST BLVD STE 738
HERMITAGE TN
37076-2066
US

IV. Provider business mailing address

5653 FRIST BLVD STE 738
HERMITAGE TN
37076-2066
US

V. Phone/Fax

Practice location:
  • Phone: 615-874-8006
  • Fax: 615-316-4026
Mailing address:
  • Phone: 615-874-8006
  • Fax: 615-316-4026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000022301
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: