Tanaka, Stacy Tricia

Tanaka, Stacy Tricia is an individual health care provider with primary practice located at 4102 Doctors Office Tower 2200 Children'S Way, Nashville TN 37232-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is her primary health care specialty. Tanaka, Stacy Tricia can be contacted via phone (615) 936-1060.

Contact Information

Primary practice address
4102 Doctors Office Tower 2200 Children'S Way Nashville TN 37232-0001
Phone: (615) 936-1060
Fax: (615) 936-1061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A83339 California
Allopathic & Osteopathic Physicians / Urology 208800000X MD44860 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 44860 Tennessee

Profile Details

NPI number 1689640070
LBN Legal business name Tanaka, Stacy Tricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Mar 29th, 2022 - about 4 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 1689640070 NPPES
Tennessee Other 44860 MEDICAL LICENSE
Tennessee Other A83339 MEDICAL LICENSE

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