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NPI Code Detail

MEDICARE: MRS. MEGAN CAMBLEY BRUMBELOW FNP

MEDICARE: MRS. MEGAN CAMBLEY BRUMBELOW FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN0000008236TN

General Provider Information

NPI Number : 1023243714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN CAMBLEY BRUMBELOW FNP
Provider Business Mailing Address
First Line : 2121 HIGHLAND AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-1111
Country : US
Telephone Number : 865-525-2640
Fax Number : 865-525-9536
Provider Business Practice Location Address
First Line : 2121 HIGHLAND AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-1111
Country : US
Telephone Number : 865-525-2640
Fax Number : 865-525-9536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2009
Last Update Date : 05/23/2016

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