Provider Demographics
NPI:1336430669
Name:ANIH, COMFORT M (RNC,MS,WHNP)
Entity Type:Individual
Prefix:MRS
First Name:COMFORT
Middle Name:M
Last Name:ANIH
Suffix:
Gender:F
Credentials:RNC,MS,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 GALLATIN AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3237
Mailing Address - Country:US
Mailing Address - Phone:615-321-2995
Mailing Address - Fax:615-226-5107
Practice Address - Street 1:604 GALLATIN AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3237
Practice Address - Country:US
Practice Address - Phone:615-321-2005
Practice Address - Fax:615-226-5107
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012714363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3086927Medicare PIN