Healthcare Provider Details

I. General information

NPI: 1134308141
Provider Name (Legal Business Name): NATSAI LAURAH ZHOU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 OLD FRANKLIN RD # 809
ANTIOCH TN
37013-3198
US

IV. Provider business mailing address

2929 OLD FRANKLIN RD # 809
ANTIOCH TN
37013-3198
US

V. Phone/Fax

Practice location:
  • Phone: 615-243-0776
  • Fax:
Mailing address:
  • Phone: 615-243-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN 0000012920
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: