Provider Demographics
NPI:1033374095
Name:TOLBERT, ERIN LYNN (RN, MSN, FNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:TOLBERT
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 21ST AVE S STE 201
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4354
Mailing Address - Country:US
Mailing Address - Phone:615-269-0652
Mailing Address - Fax:615-269-0135
Practice Address - Street 1:3441 DICKERSON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207
Practice Address - Country:US
Practice Address - Phone:615-769-4401
Practice Address - Fax:615-769-4730
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN162383163W00000X
TNAPN0000013573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1511741Medicaid
TN33423595Medicare PIN
TN3342359Medicare PIN
TN103I503310Medicare PIN
TN33423596Medicare PIN
TN33423593Medicare PIN
TN103I502476Medicare PIN
TN33423594Medicare PIN