Provider Demographics
NPI:1457320475
Name:BUHRMAN, JUDITH (NP)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:BUHRMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 GROVE STREET CT
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-3700
Mailing Address - Country:US
Mailing Address - Phone:423-634-0225
Mailing Address - Fax:423-634-5222
Practice Address - Street 1:1200 GROVE STREET CT
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-3700
Practice Address - Country:US
Practice Address - Phone:423-634-0225
Practice Address - Fax:423-634-5222
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN84432163W00000X, 363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3344600Medicare ID - Type Unspecified