Provider Demographics
NPI:1023898319
Name:FRIEDMAN, ANNA TIPPETT
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:TIPPETT
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 SHELBY LYNN DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-4573
Mailing Address - Country:US
Mailing Address - Phone:615-806-9249
Mailing Address - Fax:
Practice Address - Street 1:703 SHELBY LYNN DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-4573
Practice Address - Country:US
Practice Address - Phone:615-806-9249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN214942163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse