Healthcare Provider Details
I. General information
NPI: 1851548614
Provider Name (Legal Business Name): GERTRUDE I FRICKO WRIGHT APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/25/2008
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 PATTERSON ST WOMEN'S HOSPITAL, CENTENNIAL MEDICAL CENTER
NASHVILLE TN
37203-1538
US
IV. Provider business mailing address
2300 PATTERSON ST WOMEN'S HOSPITAL, CENTENNIAL MEDICAL CENTER
NASHVILLE TN
37203-1538
US
V. Phone/Fax
- Phone: 615-342-8299
- Fax: 615-342-8250
- Phone: 615-342-8299
- Fax: 615-342-8250
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0003X |
| Taxonomy | Inpatient Obstetric Registered Nurse |
| License Number | RN00000072043 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | APN0000011101 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: