Provider Demographics
NPI:1043298722
Name:CARO, SUSAN W (MSN, RNC, APNG)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:W
Last Name:CARO
Suffix:
Gender:F
Credentials:MSN, RNC, APNG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:SUITE 604
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-284-2276
Mailing Address - Fax:615-284-1876
Practice Address - Street 1:2004 HAYES ST STE 160
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2638
Practice Address - Country:US
Practice Address - Phone:615-284-2276
Practice Address - Fax:615-284-1876
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000044598363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4291453OtherBCBS
TNP00919006OtherRR MEDICARE
TN1514773Medicaid
TN4291453OtherBCBS