Healthcare Provider Details

I. General information

NPI: 1194536409
Provider Name (Legal Business Name): TOMASA ROSANNA BRITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 WREN RD
GOODLETTSVILLE TN
37072-2312
US

IV. Provider business mailing address

105 DURHAM CT
MURFREESBORO TN
37128-6162
US

V. Phone/Fax

Practice location:
  • Phone: 615-851-3063
  • Fax:
Mailing address:
  • Phone: 615-427-2531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number37568
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: