Tania L Addess, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Germantown, TN
NPI 1114228087 · NPPES record last updated Nov 9, 2010
Key facts
- NPI
- 1114228087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 7586 (TN)
- Practice address
- 8060 Wolf River Blvd
Germantown, TN 38138-1727 - Phone
- (901) 271-1000
- Fax
- (901) 271-2162
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7586 | TN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 7586 | TN | Yes |
Addresses
Primary practice location
8060 Wolf River Blvd
Germantown, TN 38138-1727
Mailing address
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114417 | Other | TN | RN LICENSE |
| 7586 | Other | TN | APN TN LICENSE |
Other providers in Germantown, TN
- Jessica Danielle Adams
- John Robert Adams Jr.
- Kirsty Adams
- Bethany Adamski
- Add & Dyslexia Theapy Center
- Milton Brent Addington
- Elizabeth Hyun McGuire Addison
- Advanced Dermatology and Skin Cancer Associates, PLLC
- Advanced Internal Medicine PLLC
- Advanced Kidney Care
All providers in Germantown, TN · Adult Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.