MEDICARE: FERNANDO DIGGS PHARMD

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	1835C0205X	Critical Care Pharmacist	43323	TN

General Provider Information

NPI Number	:	1770112351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDO DIGGS PHARMD

Provider Business Mailing Address
First Line	:	5033 MOUNTAIN SPRINGS DRIVE
Second Line	:
City	:	CANE RIDGE
State	:	TN
Zip	:	37013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 BELMONT BLVD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3758
Country	:	US
Telephone Number	:	615-460-6744
Fax Number	:

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

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	11/27/2023

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