Healthcare Provider Details

I. General information

NPI: 1740560663
Provider Name (Legal Business Name): ANNE THORPE BOLING M. ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5544 FRANKLIN PIKE SUITE 100
NASHVILLE TN
37220-2127
US

IV. Provider business mailing address

5544 FRANKLIN PIKE SUITE 100
NASHVILLE TN
37220-2127
US

V. Phone/Fax

Practice location:
  • Phone: 615-377-0420
  • Fax: 615-377-8524
Mailing address:
  • Phone: 615-377-0420
  • Fax: 615-377-8524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number230
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: