MEDICARE: DOUGLAS CASEY WEST CRNP, CNS

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	364SA2200X	Adult Health Clinical Nurse Specialist	APN0000013941	TN
2	363LA2200X	Adult Health Nurse Practitioner	APN0000013941	TN

General Provider Information

NPI Number	:	1316901309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS CASEY WEST CRNP, CNS

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:	615-343-9213
Fax Number	:	615-343-9604

Provider Business Practice Location Address
First Line	:	1215 21ST AVE S
Second Line	:	MEDICAL CENTER EAST, SOUTH TOWER, SUITE 5209
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:	615-343-9213
Fax Number	:	615-343-9604

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	03/16/2022

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