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General NPI Number Information
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NPI Number | 1215791512
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Entity Type | Individual
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Provider Name | BRIDGET NICOLE VANZANT PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 5736 MANCHESTER HWY
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City | MORRISON
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State | TN
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Zip | 37357-7503
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Country | US
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Telephone | 931-815-3871
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Fax |
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Provider Business Mailing Address
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Address Line | 330 ROBINSON RD
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City | WINCHESTER
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State | TN
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Zip | 37398-3142
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Country | US
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Telephone | 931-308-1156
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 35666
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License Number State | TN
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