Provider Demographics
NPI:1003211145
Name:MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT
Entity Type:Organization
Organization Name:MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CHIEF NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUBREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-322-0735
Mailing Address - Street 1:2200 CHILDRENS WAY PRESTON RESEARCH BLDG 395
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY PRESTON RESEARCH BLDG 395
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0005
Practice Address - Country:US
Practice Address - Phone:615-936-1762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VANDERBILT UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19316282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren