Healthcare Provider Details

I. General information

NPI: 1689873564
Provider Name (Legal Business Name): MAUREEN PATRICIA BARTON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 OAK GROVE DR
NASHVILLE TN
37217
US

IV. Provider business mailing address

210 OAK GROVE DR
NASHVILLE TN
37217-1231
US

V. Phone/Fax

Practice location:
  • Phone: 615-727-4550
  • Fax: 615-577-8104
Mailing address:
  • Phone: 615-727-4550
  • Fax: 615-577-8104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number3002803
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0000011516
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000121517
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number11516
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: