Whalio Doctors

NPI 1003485756

Nichole Bonzano, PAC

Practitioner Physician Assistant Nashville, TN

Practice location

Address
3601 the Vanderbilt Clinic, Nashville, TN 37232-0029
Phone
(615) 322-3000
Mailing address
3841 Green Hills Village Dr STE 200, Nashville, TN 37215-2691

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4567 (TN)

Registry record

NPI
1003485756
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jun 2021
Record last updated
21 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.