Healthcare Provider Details

I. General information

NPI: 1346960499
Provider Name (Legal Business Name): ANNA OPRISCH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 CHARLOTTE AVE STE G100
NASHVILLE TN
37209-3994
US

IV. Provider business mailing address

308 PARMLEY LN
NASHVILLE TN
37207-0049
US

V. Phone/Fax

Practice location:
  • Phone: 615-235-9225
  • Fax:
Mailing address:
  • Phone: 706-331-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number32001
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: