Provider Demographics
NPI:1811576796
Name:HEALTHSPAN WELLNESS MEDICINE, PLLC
Entity Type:Organization
Organization Name:HEALTHSPAN WELLNESS MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-407-0768
Mailing Address - Street 1:4920 ASHLAND CITY HWY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-3903
Mailing Address - Country:US
Mailing Address - Phone:757-407-0768
Mailing Address - Fax:
Practice Address - Street 1:210 25TH AVE N STE 1200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1630
Practice Address - Country:US
Practice Address - Phone:757-407-0768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care