Faryn Elizabeth Bardin, FNP
Individual provider Active NPI Family Nurse Practitioner · Smyrna, TN
NPI 1730238486 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1730238486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000012471 (TN)
- Practice address
- 515 Stonecrest Pkwy
Smyrna, TN 37167-6826 - Phone
- (615) 715-2500
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12471 | TN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| APN0000012471 | TN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000012471 | TN | Yes |
Addresses
Primary practice location
515 Stonecrest Pkwy
Smyrna, TN 37167-6826
Mailing address
221 Aldwych Way
Antioch, TN 37013-2841
Phone (615) 306-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3341346 | Medicaid | TN |
Other providers in Smyrna, TN
- Jaja Bakari
- Caeley Alana Baker
- Chelsea Baker
- Joslyn Banks
- Damon M Barbieri
- Jarre Lyn Barnard
- Mary C Barnes
- Samantha Cootes Barnes
- Katrina Barnett
- Avey Basham
All providers in Smyrna, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.