Provider Demographics
NPI:1063861953
Name:VAYSBERG, YANA (MD)
Entity Type:Individual
Prefix:DR
First Name:YANA
Middle Name:
Last Name:VAYSBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YANA
Other - Middle Name:
Other - Last Name:NESTERENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:431 OLD TOWNE DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4452
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:719 THOMPSON LANE
Practice Address - Street 2:SUITE 24100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204
Practice Address - Country:US
Practice Address - Phone:615-971-7365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program