Individual provider · Type 1 NPI

Laura Mattson Wadsworth, BS

Student in an Organized Health Care Education/Training Program · Brentwood, TN

NPI number 1699688879 Active

Practice location

1624 Westgate Cir Ste 100
Brentwood, TN 37027-8091

Fax (615) 221-7079

Mailing address

812 Little Springs Rd
Clarksville, TN 37040-5492

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699688879

Laura Mattson Wadsworth, BS's National Provider Identifier is 1699688879, issued on Sep 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brentwood, TN. The record was last updated on Sep 28, 2026.