Healthcare Provider Details

I. General information

NPI: 1306542220
Provider Name (Legal Business Name): BELISZA VEATCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 HART LN
NASHVILLE TN
37243-1405
US

IV. Provider business mailing address

710 HART LN
NASHVILLE TN
37243-1405
US

V. Phone/Fax

Practice location:
  • Phone: 615-332-2457
  • Fax:
Mailing address:
  • Phone: 615-332-2457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN0000139289
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: