Provider Demographics
NPI:1457880023
Name:ZANOVIC, BETH (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:ZANOVIC
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:MISS
Other - First Name:BETH
Other - Middle Name:A
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, RN, FNP-BC
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:262 W MAIN ST
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-1309
Practice Address - Country:US
Practice Address - Phone:513-718-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011261363LF0000X
TX1087122363LF0000X
TN34078363LF0000X
IN71013909A363LF0000X
KS53-82275-102363LF0000X
AZ294745363LF0000X
OH020404363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily