Provider Demographics
NPI:1518570639
Name:AINSLIE, ANTHONY (NP)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:AINSLIE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7629 LEVESON WAY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-7042
Mailing Address - Country:US
Mailing Address - Phone:517-449-4571
Mailing Address - Fax:
Practice Address - Street 1:300 20TH AVE N STE G4
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2244
Practice Address - Country:US
Practice Address - Phone:615-284-5098
Practice Address - Fax:615-284-5385
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27702363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care