Basic Information
Provider Information
NPI: 1598935371
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEVIER
FirstName: ERICA
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1005 DR. D.B. TODD JR. BLVD.
Address2: STE. 100
City: NASHVILLE
State: TN
PostalCode: 37208
CountryCode: US
TelephoneNumber: 6153276109
FaxNumber:  
Practice Location
Address1: 1005 DR. D.B. TODD JR. BLVD.
Address2: STE. 100
City: NASHVILLE
State: TN
PostalCode: 37208
CountryCode: US
TelephoneNumber: 6153276109
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/07/2008
LastUpdateDate: 03/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X12813TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


Home