Healthcare Provider Details

I. General information

NPI: 1174682405
Provider Name (Legal Business Name): ANNE R SHEAVES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 THE VANDERBILT CLINIC
NASHVILLE TN
37232-5100
US

IV. Provider business mailing address

4163 VILLAGE AT VANDERBILT
NASHVILLE TN
37232-8678
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-3000
  • Fax:
Mailing address:
  • Phone: 615-322-3573
  • Fax: 615-322-5048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPN12416
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: