Provider Demographics
NPI:1902613433
Name:TREUTEL, SHIRLEY (BSN)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:TREUTEL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 QUAIL RUN CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-4285
Mailing Address - Country:US
Mailing Address - Phone:615-496-5779
Mailing Address - Fax:
Practice Address - Street 1:151 ADAMS LN STE 8
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3599
Practice Address - Country:US
Practice Address - Phone:615-249-4184
Practice Address - Fax:615-553-2835
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000085792163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse