Provider Demographics
NPI:1780155192
Name:VINCENT, ANNE ALEXANDER (CSAT, TADT,)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ALEXANDER
Last Name:VINCENT
Suffix:
Gender:F
Credentials:CSAT, TADT,
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:ALEXANDER
Other - Last Name:STAUFFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSAT, REVEREND
Mailing Address - Street 1:6727 PENNYWELL DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-3055
Mailing Address - Country:US
Mailing Address - Phone:615-519-5102
Mailing Address - Fax:
Practice Address - Street 1:6727 PENNYWELL DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-3055
Practice Address - Country:US
Practice Address - Phone:615-519-5102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner