Healthcare Provider Details
I. General information
NPI: 1518104876
Provider Name (Legal Business Name): METRO PUBLIC HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2009
Last Update Date: 01/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
224 ORIEL AVE
NASHVILLE TN
37210-4910
US
IV. Provider business mailing address
224 ORIEL AVE
NASHVILLE TN
37210-4910
US
V. Phone/Fax
- Phone: 615-862-7940
- Fax: 615-880-2194
- Phone: 615-862-7940
- Fax: 615-880-2194
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP0905X |
| Taxonomy | State or Local Public Health Clinic/Center |
| License Number | RN0000146371 |
| License Number State | TN |
VIII. Authorized Official
Name:
AZIZA
TAYIP
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 615-862-7940