Healthcare Provider Details

I. General information

NPI: 1093155087
Provider Name (Legal Business Name): RENE COLEMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 07/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HAYES STREET
NASHVILLE TN
37203
US

IV. Provider business mailing address

5624 REGATTA BLVD
HERMITAGE TN
37076-3626
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-5599
  • Fax:
Mailing address:
  • Phone: 615-882-9507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number113386
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: