MEDICARE: MRS. TONIA L. MOORE-DAVIS CNM

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	367A00000X	Advanced Practice Midwife	APN11378	TN

General Provider Information

NPI Number	:	1801983937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TONIA L. MOORE-DAVIS CNM

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	:	615-936-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 WEST END AVENUE
Second Line	:	SUITE 380
City	:	NASHVILLE
State	:	TN
Zip	:	37203-6013
Country	:	US
Telephone Number	:	615-936-5858
Fax Number	:	615-936-2600

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

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	03/29/2022

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