Provider Demographics
NPI:1245812858
Name:FEARCE, OSARETIN DELLA (MD)
Entity type:Individual
Prefix:
First Name:OSARETIN
Middle Name:DELLA
Last Name:FEARCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OSARETIN
Other - Middle Name:DELLA
Other - Last Name:UMUDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1005 DR DB TODD JR. BLVD
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY & BEHAVIORAL SCIENCES
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3720
Mailing Address - Country:US
Mailing Address - Phone:817-863-4191
Mailing Address - Fax:
Practice Address - Street 1:1005 DR DB TODD JR. BLVD
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY & BEHAVIORAL SCIENCES
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3720
Practice Address - Country:US
Practice Address - Phone:615-327-6350
Practice Address - Fax:615-327-6260
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program