| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARA TALIN MINASIAN | 1033724976 | 2023-01-22 |
Mara Talin Minasian [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Mara Talin Minasian is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033724976. Registration indicates Mara Talin Minasian is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 4183044381 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ms. Mara Talin Minasian APRN |
| Practice Office Address | 250 25TH AVE N STE 300A NASHVILLE, TN US |
| Practice Office Telephone | 6153424480 |
| Practice Office Fax | 6153424489 |
| Mailing Address | 250 25TH AVE N STE 300A NASHVILLE, TN 372031632 US |
| Business Telephone | 6153424480 |
| Business Fax | 6153424489 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 28150
TN |