Provider Demographics
NPI:1467787929
Name:VOLLRATH, KRISTIN MICHELLE (RN, ARNP)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:MICHELLE
Last Name:VOLLRATH
Suffix:
Gender:F
Credentials:RN, ARNP
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:MICHELLE
Other - Last Name:CUMMINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4796 TROUSDALE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1304
Mailing Address - Country:US
Mailing Address - Phone:615-416-3552
Mailing Address - Fax:
Practice Address - Street 1:1607 WESTGATE CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8075
Practice Address - Country:US
Practice Address - Phone:615-376-8195
Practice Address - Fax:615-376-2601
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily