Provider Demographics
NPI:1073719977
Name:NURTURE PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:NURTURE PEDIATRICS, PLLC
Other - Org Name:MORGAN PEDIATRIC GROUP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:SIPE
Authorized Official - Last Name:BOTTOMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-223-5565
Mailing Address - Street 1:741 PRESIDENT PL
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6807
Mailing Address - Country:US
Mailing Address - Phone:615-223-5565
Mailing Address - Fax:615-223-5509
Practice Address - Street 1:741 PRESIDENT PL
Practice Address - Street 2:SUITE 210
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6807
Practice Address - Country:US
Practice Address - Phone:615-223-5565
Practice Address - Fax:615-223-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty