MEDICARE: CHYRL ANN MOSLEY - MANN

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	363LF0000X	Family Nurse Practitioner	25828	TN

General Provider Information

NPI Number	:	1851955959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHYRL ANN MOSLEY - MANN

Provider Business Mailing Address
First Line	:	2115 YEAMAN PL APT 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-4231
Country	:	US
Telephone Number	:	859-753-8505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 YEAMAN PL APT 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-4231
Country	:	US
Telephone Number	:	859-753-8505
Fax Number	:

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

Provider Enumeration Date	:	04/24/2019
Last Update Date	:	04/24/2019

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Directions to “ CHYRL ANN MOSLEY - MANN ” Practice Location

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