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Laurie Frances Omohundro

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

3601 The Vanderbilt Clinic, Nashville, TN 37232-0001

PECOS Enrollment

This provider is enrolled in PECOS as LAURIE OMOHUNDRO.

Based on the most recent information from CMS, provider Laurie Frances Omohundro is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1164541611
Provider Type
Individual
Full Name
Omohundro, Laurie Frances
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/28/2007
Last Updated
3/28/2022

Contact Information

Practice Location

3601 The Vanderbilt Clinic, Nashville, TN 37232-0001

(615) 322-3000

Unlisted Fax

Mailing Location

3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APN 6753 Tennessee

Laurie Frances Omohundro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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