Individual
BRENTON ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
250 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5904
(865) 980-5244
(865) 980-5245
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN165538
TN
363LF0000X
Family Nurse Practitioner
Primary
APN18684
TN
Other
Enumeration date
06/18/2014
Last updated
04/05/2022
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