Provider Demographics
NPI:1568737864
Name:HOWARD, ANNA MCKENZIE (APN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MCKENZIE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1984 ROSEMARK RD.
Mailing Address - Street 2:STE E
Mailing Address - City:ATOKA
Mailing Address - State:TN
Mailing Address - Zip Code:38004-7843
Mailing Address - Country:US
Mailing Address - Phone:901-837-7785
Mailing Address - Fax:901-837-7786
Practice Address - Street 1:1984 ROSEMARK RD
Practice Address - Street 2:STE E
Practice Address - City:ATOKA
Practice Address - State:TN
Practice Address - Zip Code:38004-7843
Practice Address - Country:US
Practice Address - Phone:901-837-7785
Practice Address - Fax:901-837-7786
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN16541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily