Individual provider · NPI-1
Carl A Anderson, APRN
Nurse Practitioner, Pediatrics · Nashville, TN
NPI number1962536003
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1962536003
- Entity type
- Individual (NPI-1)
- Name
- Carl A Anderson
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2007
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | APN11543 | TN | Yes |
| 207RN0300X | Internal Medicine, Nephrology | 11543 | TN |
Practice location
3601 TvcNashville, TN 37232-0001
Phone 615-322-3000
Mailing address
3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone 615-322-3000
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