Pembridge, Richard L

Pembridge, Richard L is an individual health care provider with primary practice located at 2010 Church St Suite 201, Nashville TN 37203-2012. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Pembridge, Richard L can be contacted via phone (615) 284-2951.

Contact Information

Primary practice address
2010 Church St Suite 201 Nashville TN 37203-2012
Phone: (615) 284-2951
Fax: (615) 284-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X APN0000010596 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10596 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 10596 Tennessee

Profile Details

NPI number 1508892688
LBN Legal business name Pembridge, Richard L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508892688 NPPES
Tennessee Other 4313518 BLUE CROSS-BLUE SHIELD
Tennessee MEDICAID 7100090190 BLUE CROSS-BLUE SHIELD
Tennessee Other P01004443 BLUE CROSS-BLUE SHIELD
Tennessee MEDICAID 1515000 BLUE CROSS-BLUE SHIELD

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