Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN0000160671 | TN |
NPI | 1003169277 |
---|---|
Provider Name | Anna Kathleen Nebel |
First Address | Nashville, TN 37203-1534 |
Second Address | Nashville, TN 37203-1534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2012 |
Last Update Date | 27/01/2022 |