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Contact Information

CENTENNIAL HEART LLC
2400 PATTERSON ST
SUITE 502
NASHVILLE, TN37203-1562
 Phone: 615-515-1900
 Fax: 615-515-1993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CENTENNIAL HEART LLC · (Female)

NPI # 1245393057
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2006
Last updated 07/18/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid 3736113
  • TN Other DF6153 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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