Provider Demographics
NPI:1023025301
Name:NEUMANN, ANNE REBECCA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:REBECCA
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:REBECCA
Other - Last Name:PINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1508 TOMBRAS AVE
Mailing Address - Street 2:
Mailing Address - City:EAST RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37412-2720
Mailing Address - Country:US
Mailing Address - Phone:423-867-4969
Mailing Address - Fax:423-867-4971
Practice Address - Street 1:1508 TOMBRAS AVE
Practice Address - Street 2:
Practice Address - City:EAST RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37412
Practice Address - Country:US
Practice Address - Phone:423-867-4969
Practice Address - Fax:423-867-4971
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ006889Medicaid
TNQ006889Medicaid
TN1016710001Medicare NSC
TNAPN 0000012164OtherAPN #
TN1016710001Medicare NSC
TNF0606072OtherNURSE PRACT CERT. NO.