Individual
MRS. HEATHER NOELLE BRADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2210 SUTHERLAND AVE, SUITE 110, KNOXVILLE, TN 37919
(865) 525-4333
(865) 212-8879
Mailing address
2210 SUTHERLAND AVE, SUITE 110, KNOXVILLE, TN 37919
(865) 525-4333
(865) 212-8879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169974
TN
363LF0000X
Family Nurse Practitioner
Primary
18936
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008280
—
TN
Enumeration date
07/28/2014
Last updated
07/09/2021
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