Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Body for Life LLC

Organization Acute Care Nurse Practitioner · NPI 1679869408

Body for Life LLC is an Acute Care Nurse Practitioner in Bartlett, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8099 Stage Hills Blvd Ste 101
Bartlett, TN 38133-4064
Phone: (901) 373-3300
Fax: (901) 373-3303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APN12232 (TN)

Record details

NPI number1679869408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Diaz — Member · (901) 373-3300
NPI enumeratedJune 20, 2011
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address8099 Stage Hills Blvd Ste 101, Bartlett, TN 38133-4064

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