Healthcare Provider Details

I. General information

NPI: 1295548592
Provider Name (Legal Business Name): NATALIE WILES QUINTERO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 HARRAH DR STE N
SPRING HILL TN
37174-6254
US

IV. Provider business mailing address

3011 HARRAH DR STE N
SPRING HILL TN
37174-6254
US

V. Phone/Fax

Practice location:
  • Phone: 931-538-3105
  • Fax: 931-538-3062
Mailing address:
  • Phone: 931-538-3105
  • Fax: 931-538-3062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number38060
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: