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NPI Code Detail

MEDICARE: MRS. BETHANY J MCGUIRE APN

MEDICARE:  MRS. BETHANY J MCGUIRE  APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner12665TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194917997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETHANY J MCGUIRE APN
Provider Business Mailing Address
First Line : 201 JORDAN RD
Second Line : STE 200
City : FRANKLIN
State : TN
Zip : 37067-4495
Country : US
Telephone Number : 615-966-6305
Fax Number : 615-966-7066
Provider Business Practice Location Address
First Line : 2400 WHITE AVE
Second Line : SUITE B
City : NASHVILLE
State : TN
Zip : 37204-2235
Country : US
Telephone Number : 615-921-3920
Fax Number : 615-656-7865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 07/11/2017

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