Christy Anderson, LPN

Individual provider Active NPI Licensed Practical Nurse · Knoxville, TN

NPI 1821366980 · NPPES record last updated Dec 5, 2011

Key facts

NPI
1821366980
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
80308 (TN)
Practice address
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone
(865) 637-9711
NPI assigned
Dec 5, 2011
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)
No

State licenses

LicenseStateTypeSpecialty
80308TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 80308 TN Yes

Addresses

Primary practice location

201 W Springdale Ave
Knoxville, TN 37917-5158

Mailing address

201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

Other providers in Knoxville, TN

All providers in Knoxville, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.