Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 17541 | TN |
NPI | 1023441284 |
---|---|
Provider Name | Cassandra Anderson |
First Address | Nashville, TN 37212-2637 |
Second Address | Nashville, TN 37212-2637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2013 |
Last Update Date | 13/06/2018 |