Basic Information
Provider Information
NPI: 1326235219
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEISS
FirstName: HILARY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 501 GREAT CIRCLE RD
Address2: SUITE 200
City: NASHVILLE
State: TN
PostalCode: 372281317
CountryCode: US
TelephoneNumber: 6152845887
FaxNumber: 6152845889
Practice Location
Address1: 300 20TH AVE N
Address2: SUITE 106
City: NASHVILLE
State: TN
PostalCode: 372032131
CountryCode: US
TelephoneNumber: 6152845887
FaxNumber: 6152845889
Other Information
ProviderEnumerationDate: 09/25/2007
LastUpdateDate: 10/21/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X13481TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

ID Information
IDTypeStateIssuerDescription
P0076070001TNRR MEDICAREOTHER
151073005TN MEDICAID
420861401TNBLUE CROSS-BLUE SHIELDOTHER


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