Provider Demographics
NPI:1659362002
Name:UTZ, ANDREA LYNN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:LYNN
Last Name:UTZ
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-343-8332
Mailing Address - Fax:615-343-8346
Practice Address - Street 1:1215 21ST AVE S
Practice Address - Street 2:#8210 MCE, SOUTH TOWER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0014
Practice Address - Country:US
Practice Address - Phone:615-343-8332
Practice Address - Fax:615-343-8346
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44340207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ28534OtherBCBS MA
MA2100193Medicaid
MA470163OtherTUFTS HEALTH PLAN
I32563Medicare UPIN
MAA38542Medicare ID - Type Unspecified