Healthcare Provider Details

I. General information

NPI: 1164382651
Provider Name (Legal Business Name): CARMEN LEFFLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3714B AUBURN LN
NASHVILLE TN
37215-1720
US

IV. Provider business mailing address

3714B AUBURN LN
NASHVILLE TN
37215-1720
US

V. Phone/Fax

Practice location:
  • Phone: 615-668-1286
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number38620
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: