Provider Demographics
NPI:1407158793
Name:WHITE, ANNE ELIZABETH CHURCH (CRNA)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:ELIZABETH CHURCH
Last Name:WHITE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:ELIZABETH
Other - Last Name:CHURCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:719 FARMINGTON DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-8601
Practice Address - Country:US
Practice Address - Phone:615-509-4711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16225367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty