Provider Demographics
NPI:1598206906
Name:MARTIN, ANNE
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 W MAPLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2973
Mailing Address - Country:US
Mailing Address - Phone:615-277-5900
Mailing Address - Fax:615-367-1808
Practice Address - Street 1:217 W MAPLEWOOD LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2973
Practice Address - Country:US
Practice Address - Phone:615-277-5900
Practice Address - Fax:615-367-1808
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist