Provider Demographics
NPI:1780889634
Name:SMITH, ANNA MARIJA (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIJA
Last Name:SMITH
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9914 SHERETZ DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1929
Mailing Address - Country:US
Mailing Address - Phone:865-470-2448
Mailing Address - Fax:865-769-9510
Practice Address - Street 1:1120 E WEISGARBER RD
Practice Address - Street 2:SUITE 104
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2685
Practice Address - Country:US
Practice Address - Phone:865-909-0090
Practice Address - Fax:865-909-9883
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12742363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health