Healthcare Provider Details

I. General information

NPI: 1326566282
Provider Name (Legal Business Name): TANYA GREEN BIRTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 OAK VALLEY DRIVE
SPRING HILL TN
37174
US

IV. Provider business mailing address

80 OAK VALLEY DR
SPRING HILL TN
37174-2596
US

V. Phone/Fax

Practice location:
  • Phone: 615-417-9019
  • Fax:
Mailing address:
  • Phone: 615-417-9019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TANYA GREEN
Title or Position: OWNER
Credential: RN, CPM
Phone: 615-417-9019