MEDICARE: MEGHAN ANDERSON

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	363LP0200X	Pediatric Nurse Practitioner	0000017953	TN

General Provider Information

NPI Number	:	1558791632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN ANDERSON

Provider Business Mailing Address
First Line	:	3601 TVC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0001
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY
Second Line	:	SUITE 1014
City	:	NASHVILLE
State	:	TN
Zip	:	37232-9001
Country	:	US
Telephone Number	:	615-936-3898
Fax Number	:

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

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	03/04/2014

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Directions to “ MEGHAN ANDERSON ” Practice Location

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