Provider Demographics
NPI:1467865907
Name:DARVES-BORNOZ, ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:DARVES-BORNOZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF UROLOGIC SURGERY
Mailing Address - Street 2:A-1302 MEDICAL CENTER NORTH, VANDERBILT UNIVERSITY
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-2765
Mailing Address - Country:US
Mailing Address - Phone:615-343-5604
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF UROLOGIC SURGERY
Practice Address - Street 2:A-1302 MEDICAL CENTER NORTH, VANDERBILT UNIVERSITY
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2765
Practice Address - Country:US
Practice Address - Phone:615-343-5604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.149582208800000X
390200000X
NY308241208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program