Healthcare Provider Details

I. General information

NPI: 1841483781
Provider Name (Legal Business Name): PATSY B. HERREN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 26TH AVE S
NASHVILLE TN
37212-3307
US

IV. Provider business mailing address

2500 CHARLOTTE AVE
NASHVILLE TN
37209-4129
US

V. Phone/Fax

Practice location:
  • Phone: 615-298-8470
  • Fax: 615-298-8084
Mailing address:
  • Phone: 615-340-7781
  • Fax: 615-340-7792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN0000043709
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: