Provider Demographics
NPI:1730729278
Name:MARKUS, ANNA ABIGAIL (APRN)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ABIGAIL
Last Name:MARKUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 LONG BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-5400
Mailing Address - Country:US
Mailing Address - Phone:931-231-6526
Mailing Address - Fax:
Practice Address - Street 1:211 LONG BRANCH RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-5400
Practice Address - Country:US
Practice Address - Phone:931-231-6526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26989363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care