Individual
ANTTRENIKA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2262 S GERMANTOWN RD, GERMANTOWN, TN 38138-3805
(901) 753-4300
Mailing address
3645 BOEINGSHIRE DR, MEMPHIS, TN 38116-5014
(901) 503-7567
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34680
TN
Other
Enumeration date
09/28/2023
Last updated
09/05/2024
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