Healthcare Provider Details

I. General information

NPI: 1164647574
Provider Name (Legal Business Name): SUSAN K RATCLIFFE CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 CHARLOTTE AVE
NASHVILLE TN
37209
US

IV. Provider business mailing address

PO BOX 24730
NASHVILLE TN
37202
US

V. Phone/Fax

Practice location:
  • Phone: 615-222-1900
  • Fax: 615-222-1917
Mailing address:
  • Phone: 615-386-2300
  • Fax: 615-386-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number66791
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: