Provider Demographics
NPI:1861555815
Name:FENDER, SAPRINA F (ANP)
Entity type:Individual
Prefix:
First Name:SAPRINA
Middle Name:F
Last Name:FENDER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632476
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2476
Mailing Address - Country:US
Mailing Address - Phone:423-636-2700
Mailing Address - Fax:423-232-8573
Practice Address - Street 1:1021 COOLIDGE ST STE 6
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37743-5986
Practice Address - Country:US
Practice Address - Phone:423-636-2700
Practice Address - Fax:423-232-8573
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3908390Medicaid
TN500024004OtherRR MEDICARE PIN
P18061Medicare UPIN
TN39083901Medicare PIN