Healthcare Provider Details

I. General information

NPI: 1316675218
Provider Name (Legal Business Name): BRANDI KEIRSEY RAHMANIAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MEDICAL CENTER WAY
KNOXVILLE TN
37920-3257
US

IV. Provider business mailing address

2101 MEDICAL CENTER WAY
KNOXVILLE TN
37920-3257
US

V. Phone/Fax

Practice location:
  • Phone: 865-546-9221
  • Fax: 865-594-5833
Mailing address:
  • Phone: 865-546-9221
  • Fax: 865-594-5833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number215038
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: