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NPI Code Detail

MEDICARE: OLGA TALLIER P.A.

MEDICARE: OLGA TALLIER P.A.
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerAPN0000011544TN

General Provider Information

NPI Number : 1790709277
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA TALLIER P.A.
Provider Business Mailing Address
First Line : 505 OLD TOWNE DR
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-4454
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 617 S 8TH ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3819
Country : US
Telephone Number : 615-226-1695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/31/2011

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Directions to “ OLGA TALLIER P.A.” Practice Location

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