| Evergreen Nephrology Of New York Pllc | |
|
210 Athens Way Ste 200 Nashville TN 37228-1308 | |
| (615) 270-3505 | |
| Not Available |
| Full Name | Evergreen Nephrology Of New York Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Athens Way Ste 200, Nashville, Tennessee |
| Authorized Official Name and Position | Timothy Pflederer (OWNER) |
| Authorized Official Contact | 8336331290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Nephrology Of New York Pllc 315 Deaderick St Ste 1140 Nashville TN 37238-3007 Ph: (833) 633-1290 | Evergreen Nephrology Of New York Pllc 210 Athens Way Ste 200 Nashville TN 37228-1308 Ph: (615) 270-3505 |
| NPI Number | 1730943002 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 07/09/2026 |
| Certification Date | 07/09/2026 |
| Medicare PECOS PAC ID | 3476076092 |
|---|---|
| Medicare Enrollment ID | O20250325000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730943002 | NPI | - | NPPES |
| Provider Name | Emily Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538580 PECOS PAC ID: 7416367230 Enrollment ID: I20220818001838 |
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