Most Relevant Information
Provider Data
| NPI Number: | 1003485756 |
| Provider Name: | NICHOLE BONZANO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 4567 |
Most Important Dates
| Enumeration Date: | 06/17/2021 |
| Last Updated: | 03/21/2022 |
Provider Practice Location
3601 THE VANDERBILT CLINIC
NASHVILLE
TN
372320029
Practice Location Phone/Fax
| Phone: | 6153223000 |
| Fax: |
Provider Mailing Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE
TN
372152691
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |