MEDICARE: ROSEMARY WALTON NEBEL LMFT

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	106H00000X	Marriage & Family Therapist	1847	TN

General Provider Information

NPI Number	:	1639931181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARY WALTON NEBEL LMFT

Provider Business Mailing Address
First Line	:	2116 HOBBS RD APT K8
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3360
Country	:	US
Telephone Number	:	615-364-1430
Fax Number	:

Provider Business Practice Location Address
First Line	:	822A MERIDIAN ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-5850
Country	:	US
Telephone Number	:	615-200-8120
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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