Individual
BRIAN HUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
Mailing address
10084 SUNNY LN, OOLTEWAH, TN 37363-8535
(423) 762-1429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
32817
TN
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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