MEDICARE: MS. ELIZABETH D. CORLEY 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
1	363LF0000X	Family Nurse Practitioner	17593	TN

General Provider Information

NPI Number	:	1235563511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH D. CORLEY APN

Provider Business Mailing Address
First Line	:	1911 STATE ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2209
Country	:	US
Telephone Number	:	615-284-2015
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 STATE ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2209
Country	:	US
Telephone Number	:	615-284-2015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2013
Last Update Date	:	07/21/2022

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