Individual
MRS. SHANNON B BRAMLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1000 JASON WITTEN WAY, ELIZABETHTON, TN 37643-2970
(423) 439-4355
(423) 543-0581
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(276) 466-3006
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1696
TN
231H00000X
Audiologist
220100647
VA
237600000X
Audiologist-Hearing Aid Fitter
2101001206
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009105468
—
VA
05
—
009460882
—
VA
05
—
1316906647
—
VA
05
—
Q004368
—
TN
Enumeration date
03/23/2006
Last updated
10/22/2024
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