Provider Demographics
NPI:1780404301
Name:EDELWEISS HOUSECALLS
Entity type:Organization
Organization Name:EDELWEISS HOUSECALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:951-833-0214
Mailing Address - Street 1:501 UNION ST
Mailing Address - Street 2:STE 545 #836148
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219
Mailing Address - Country:US
Mailing Address - Phone:951-833-0214
Mailing Address - Fax:
Practice Address - Street 1:155 PAYNE CIR
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37879-4428
Practice Address - Country:US
Practice Address - Phone:951-833-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty