Provider Demographics
NPI:1194198218
Name:THOENER, TAMERA NICOLE (FNP)
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:NICOLE
Last Name:THOENER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TAMERA
Other - Middle Name:NICOLE
Other - Last Name:PETRASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7051 HIGHWAY 70 S # 112
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2207
Mailing Address - Country:US
Mailing Address - Phone:629-888-3256
Mailing Address - Fax:615-249-3429
Practice Address - Street 1:915 HARPETH VALLEY PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1141
Practice Address - Country:US
Practice Address - Phone:629-888-3256
Practice Address - Fax:615-249-3429
Is Sole Proprietor?:No
Enumeration Date:2015-11-11
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily