Provider Demographics
NPI:1285870352
Name:FRUNDLE, THOMAS C (RN, MBA)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:C
Last Name:FRUNDLE
Suffix:
Gender:M
Credentials:RN, MBA
Other - Prefix:
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:FRUNDLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, MBA
Mailing Address - Street 1:275 CUMBERLAND BND
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1805
Mailing Address - Country:US
Mailing Address - Phone:615-726-0125
Mailing Address - Fax:
Practice Address - Street 1:275 CUMBERLAND BND
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1805
Practice Address - Country:US
Practice Address - Phone:615-726-0125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN146293163W00000X, 163WC0200X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WE0003XNursing Service ProvidersRegistered NurseEmergency