Individual
ANNE E WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2151 CENTURY LN, JOHNSON CITY, TN 37604-4469
(423) 439-4515
(423) 439-4060
Mailing address
365 STOUT DRIVE BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17811
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154750339
—
VI
05
—
1533753
—
SD
01
—
17811
APN ST LIC
TN
01
—
18023
RN ST LIC
TN
Enumeration date
11/07/2013
Last updated
02/28/2017
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