Healthcare Provider Details

I. General information

NPI: 1689790263
Provider Name (Legal Business Name): BETHANY D SANDERS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETHANY D DOMZAL CNM

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 THE VANDERBILT CLINIC
NASHVILLE TN
37232-0001
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-3000
  • Fax:
Mailing address:
  • Phone: 615-936-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number189322
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number17251
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: