Healthcare Provider Details

I. General information

NPI: 1659362002
Provider Name (Legal Business Name): ANDREA LYNN UTZ MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 21ST AVE S #8210 MCE, SOUTH TOWER
NASHVILLE TN
37232-0014
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 615-343-8332
  • Fax: 615-343-8346
Mailing address:
  • Phone: 615-343-8332
  • Fax: 615-343-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number44340
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: