Healthcare Provider Details

I. General information

NPI: 1477493302
Provider Name (Legal Business Name): ANSON ONISHI RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 21ST AVE S
NASHVILLE TN
37203-2424
US

IV. Provider business mailing address

730 OLD HICKORY BLVD APT 123
NASHVILLE TN
37209-5293
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-2590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42292
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number273743
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: