Provider Demographics
NPI:1801212840
Name:CURRID, ANNA LISA LANGLEY (ARNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LISA LANGLEY
Last Name:CURRID
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:LISA
Other - Last Name:LANGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 N EDDY ST.
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-3096
Mailing Address - Country:US
Mailing Address - Phone:574-239-1433
Mailing Address - Fax:574-239-1438
Practice Address - Street 1:3722 TIMBERLAKE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2859
Practice Address - Country:US
Practice Address - Phone:901-289-0159
Practice Address - Fax:901-289-0159
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60431469363LA2100X
WA60423521163W00000X
TN30291363LA2100X
IN71005860A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse