Individual
ANITA WAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-6969
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
0243288
GA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
19069
TN
Other
Enumeration date
08/11/2011
Last updated
01/30/2017
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