Healthcare Provider Details

I. General information

NPI: 1922264357
Provider Name (Legal Business Name): MAUREEN HUEY SA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 21ST ST N
NASHVILLE TN
37236-0001
US

IV. Provider business mailing address

608 QUARTER HORSE LN
NOLENSVILLE TN
37135-9763
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-7330
  • Fax:
Mailing address:
  • Phone: 615-945-6676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: