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Individual

ANNA S DERVISHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-4726
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16503
TN
363LF0000X
Family Nurse Practitioner
Primary
16503
TN
363LF0000X
Family Nurse Practitioner
3011124
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1527637
TN
Enumeration date
03/07/2012
Last updated
01/22/2025
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