Healthcare Provider Details

I. General information

NPI: 1649778028
Provider Name (Legal Business Name): ELIZABETH FLOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 01/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W END AVE STE 920
NASHVILLE TN
37203-2526
US

IV. Provider business mailing address

1801 W END AVE STE 920
NASHVILLE TN
37203-2526
US

V. Phone/Fax

Practice location:
  • Phone: 615-928-6073
  • Fax:
Mailing address:
  • Phone: 615-928-6073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number3237
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: