Andrea Dadisman, ACNP-BC | |
1310 24th Ave S, Nashville, TN 37212-2637 | |
(910) 568-9297 | |
Not Available |
Full Name | Andrea Dadisman |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 1310 24th Ave S, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982085569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 196462 (Tennessee) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 19394 (Tennessee) | Primary |
Entity Name | Frpg, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144685546 PECOS PAC ID: 2769785377 Enrollment ID: O20160114001296 |
Mailing Address | Practice Location Address |
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Andrea Dadisman, ACNP-BC 2277 Wilma Rudolph Blvd Ste C, #273, Clarksville, TN 37040-6161 Ph: () - | Andrea Dadisman, ACNP-BC 1310 24th Ave S, Nashville, TN 37212-2637 Ph: (910) 568-9297 |
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