Provider Demographics
NPI:1215334974
Name:HRISTOVA, ANNA (MSN, APRN, NP-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HRISTOVA
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4928 EDMONDSON PIKE STE 205
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4791
Mailing Address - Country:US
Mailing Address - Phone:615-222-1400
Mailing Address - Fax:615-222-1420
Practice Address - Street 1:4928 EDMONDSON PIKE STE 205
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4791
Practice Address - Country:US
Practice Address - Phone:615-222-1400
Practice Address - Fax:615-222-1420
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26952363LF0000X
IN28192675A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily