Healthcare Provider Details

I. General information

NPI: 1801212840
Provider Name (Legal Business Name): ANNA LISA LANGLEY CURRID ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA LISA LANGLEY

II. Dates (important events)

Enumeration Date: 03/14/2014
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3722 TIMBERLAKE DR
KNOXVILLE TN
37920-2859
US

IV. Provider business mailing address

3722 TIMBERLAKE DR
KNOXVILLE TN
37920-2859
US

V. Phone/Fax

Practice location:
  • Phone: 901-289-0159
  • Fax: 901-289-0159
Mailing address:
  • Phone: 901-289-0159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60423521
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71005860A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number60431469
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number30291
License Number StateTN
# 5
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number30291
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: