Ellerby-Brown, Anitra Dolores
Ellerby-Brown, Anitra Dolores is an individual health care provider with primary practice located at 2504 Cayer Ln C , Columbia TN 38401-7384. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellerby-Brown, Anitra Dolores can be contacted via phone (931) 548-2500.Contact Information
Primary practice address
2504 Cayer Ln C
Columbia TN 38401-7384
Phone: (931) 548-2500
Fax: (931) 548-2503
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13719 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 13719 | Tennessee |
Profile Details
NPI number | 1780810721 |
---|---|
LBN Legal business name | Ellerby-Brown, Anitra Dolores |
Credentials | FNP-BC, CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2009 |
Last updated | Dec 8th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780810721 | NPPES |
Tennessee | MEDICAID | 1513989 | |
Tennessee | Other | 4292536 |
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