Healthcare Provider Details

I. General information

NPI: 1124737077
Provider Name (Legal Business Name): EDWIN TSAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING PIKE STE 330
NASHVILLE TN
37205-2018
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-5180
US

V. Phone/Fax

Practice location:
  • Phone: 615-269-4545
  • Fax: 615-565-6748
Mailing address:
  • Phone: 615-284-4088
  • Fax: 615-284-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number39000
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: