Provider Demographics
NPI:1487101382
Name:DAMBRINO, KATHRYN LEWIS (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:LEWIS
Last Name:DAMBRINO
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:DAMBRINO
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, FNP-BC
Mailing Address - Street 1:1900 BELMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3758
Mailing Address - Country:US
Mailing Address - Phone:615-460-5506
Mailing Address - Fax:
Practice Address - Street 1:1900 BELMONT BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3758
Practice Address - Country:US
Practice Address - Phone:615-460-5506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily