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NPI Code Detail

MEDICARE: ANNA S VANEATON

MEDICARE:   ANNA S VANEATON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker4484TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14484OTHERTNSTATE LICENSE

General Provider Information

NPI Number : 1891129003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA S VANEATON
Provider Business Mailing Address
First Line : 871 VINES FARM LN
Second Line :
City : JONESBOROUGH
State : TN
Zip : 37659-1243
Country : US
Telephone Number : 423-915-6953
Fax Number :
Provider Business Practice Location Address
First Line : 3114 BROWNS MILL RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-1417
Country : US
Telephone Number : 423-631-0432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 08/06/2021

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Directions to “ ANNA S VANEATON ” Practice Location

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