Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 59721 | TN |
Y | 207RP1001X | Pulmonary Disease | 59721 | TN |
NPI | 1093151367 |
---|---|
Provider Name | Anne Mainardi |
First Address | Chattanooga, TN 37403-3310 |
Second Address | Chattanooga, TN 37403-3310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 17/02/2020 |