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NPI 1720259351

NPI 1720259351 : BRENNA SHEA HARRIS APN, WHNP : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1720259351
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    Entity Type          |    Individual 
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    Provider Name        |    BRENNA SHEA HARRIS APN, WHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2008
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    Last Update Date     |    03/07/2012
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Provider Practice Location Address
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    Address Line         |    803 NEARTOP DR 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37205-1317
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    Country              |    US
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    Telephone            |    615-293-0181
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    803 NEARTOP DR 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37205-1317
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    Country              |    US
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    Telephone            |    615-293-0181
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    APN0000012964
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    License Number State |    TN
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