Meghan Robertson, | |
1305 3rd Ave N Apt 335, Nashville, TN 37208-2897 | |
(716) 512-9293 | |
Not Available |
Full Name | Meghan Robertson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 1305 3rd Ave N Apt 335, 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 |
---|---|---|---|
1639854136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 199473 (Tennessee) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 34297 (Tennessee) | Primary |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210806002739 |
Mailing Address | Practice Location Address |
---|---|
Meghan Robertson, 1305 3rd Ave N Apt 335, Nashville, TN 37208-2897 Ph: (716) 512-9293 | Meghan Robertson, 1305 3rd Ave N Apt 335, Nashville, TN 37208-2897 Ph: (716) 512-9293 |
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