Healthcare Provider Details

I. General information

NPI: 1336780840
Provider Name (Legal Business Name): TUNIKA MARIAH THERESA LARODE CNM PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TUNIKA MARIAH THERESA MAYERS

II. Dates (important events)

Enumeration Date: 10/05/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S PERIMETER PARK DR STE 100
NASHVILLE TN
37211-4128
US

IV. Provider business mailing address

301 S PERIMETER PARK DR STE 100
NASHVILLE TN
37211-4128
US

V. Phone/Fax

Practice location:
  • Phone: 615-478-6748
  • Fax:
Mailing address:
  • Phone: 615-478-6748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number40764
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number40764
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN245026
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: