Provider Demographics
NPI:1821218561
Name:SHAUB, VICKI P (NP)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:P
Last Name:SHAUB
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:719 THOMPSON LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3609
Mailing Address - Country:US
Mailing Address - Phone:615-936-2000
Mailing Address - Fax:675-377-8792
Practice Address - Street 1:919 MURFREESBORO RD STE 101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3002
Practice Address - Country:US
Practice Address - Phone:615-377-3300
Practice Address - Fax:675-377-8792
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2020-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN6549207Q00000X
TN6594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
6594OtherAPN