Provider Demographics
NPI:1295988822
Name:SERENITY HEALTH CARE, P.C.
Entity type:Organization
Organization Name:SERENITY HEALTH CARE, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:615-915-2481
Mailing Address - Street 1:913 GALLATIN PIKE S
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4603
Mailing Address - Country:US
Mailing Address - Phone:615-915-2481
Mailing Address - Fax:615-915-2488
Practice Address - Street 1:913 GALLATIN PIKE S
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4603
Practice Address - Country:US
Practice Address - Phone:615-915-2481
Practice Address - Fax:615-915-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty