Provider Demographics
NPI:1134470529
Name:SPRY, LANA DANIELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:DANIELLE
Last Name:SPRY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE VANTAGE WAY, SUITE B240
Mailing Address - Street 2:MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1562
Mailing Address - Country:US
Mailing Address - Phone:615-329-4020
Mailing Address - Fax:615-327-5475
Practice Address - Street 1:1700 MEDICAL CENTER PARKWAY
Practice Address - Street 2:ST. THOMAS RUTHERFORD HOSPITAL
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-329-4020
Practice Address - Fax:615-327-5475
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALPA853363A00000X
TN2622363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant