Healthcare Provider Details

I. General information

NPI: 1407427362
Provider Name (Legal Business Name): ANNA MICHELLE LOVEL MCDANIEL DNP, ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ANNA MICHELLE MEINERS LOVEL

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 UNION AVE
MEMPHIS TN
38104-3415
US

IV. Provider business mailing address

5050 POPLAR AVE STE 800
MEMPHIS TN
38157-0800
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-7000
  • Fax:
Mailing address:
  • Phone: 901-276-2662
  • Fax: 901-274-2033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number29935
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: