Healthcare Provider Details

I. General information

NPI: 1497969257
Provider Name (Legal Business Name): PAMELA K TROTTER RN, APN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 CHARLOTTE AVE SUITE 110
NASHVILLE TN
37209-4129
US

IV. Provider business mailing address

7525 ROLLING RIVER PKWY
NASHVILLE TN
37221-3360
US

V. Phone/Fax

Practice location:
  • Phone: 615-340-5647
  • Fax: 615-340-8588
Mailing address:
  • Phone: 615-517-6548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN0000052192
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: