Basic Information
Provider Information
NPI: 1376122275
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIORDANO
FirstName: TATIANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2711 FOSTER AVE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372105307
CountryCode: US
TelephoneNumber: 6152273000
FaxNumber:  
Practice Location
Address1: 601 W DUE WEST AVE
Address2:  
City: MADISON
State: TN
PostalCode: 371154423
CountryCode: US
TelephoneNumber: 6152273000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/07/2021
LastUpdateDate: 04/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X29179TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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