Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 20555 | TN |
NPI | 1497126403 |
---|---|
Provider Name | Lauren Alexandra Brunhoeber |
First Address | Nashville, TN 37209-2317 |
Second Address | Nashville, TN 37232-0011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2015 |
Last Update Date | 13/12/2016 |