Provider Demographics
NPI:1437416724
Name:RICH, NICOLE CHRISTIENNE (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:CHRISTIENNE
Last Name:RICH
Suffix:
Gender:F
Credentials:MD
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 STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-4086
Mailing Address - Fax:615-284-7501
Practice Address - Street 1:1800 MEDICAL CENTER PKWY STE 400
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3181
Practice Address - Country:US
Practice Address - Phone:615-867-1940
Practice Address - Fax:615-867-1941
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN633112086S0129X
CAA127816208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208600000XAllopathic & Osteopathic PhysiciansSurgery