Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MD34231 | TN |
NPI | 1265455091 |
---|---|
Provider Name | Dr. Anna-Louise O Molette |
First Address | Nashville, TN 37205-3319 |
Second Address | Smyrna, TN 37167-6844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 19/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3856866 | (05) | TN |
H23853 | (02) | TN |