Basic Information
Provider Information
NPI: 1891403861
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOVATER
FirstName: ANNE
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 18TH AVE S APT C
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372122107
CountryCode: US
TelephoneNumber: 3146201236
FaxNumber:  
Practice Location
Address1: 1211 MEDICAL CENTER DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372320004
CountryCode: US
TelephoneNumber: 6153225000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/09/2022
LastUpdateDate: 11/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X245464TNY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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