Provider Demographics
NPI:1558601344
Name:NEW HOPE FAMILY CARE AND MEDSPA LLC
Entity Type:Organization
Organization Name:NEW HOPE FAMILY CARE AND MEDSPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUDDARTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-265-8299
Mailing Address - Street 1:242 W MAIN ST # 104
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3318
Mailing Address - Country:US
Mailing Address - Phone:615-265-8299
Mailing Address - Fax:615-431-2572
Practice Address - Street 1:131 MAPLE ROW BLVD STE D400
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3777
Practice Address - Country:US
Practice Address - Phone:615-265-8299
Practice Address - Fax:615-431-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7721364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty