Provider Demographics
NPI:1639726144
Name:BRASHER, TANYA (DNP MSN FNP-C RN LNH)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:BRASHER
Suffix:
Gender:F
Credentials:DNP MSN FNP-C RN LNH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 MILITARY ST S
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:AL
Mailing Address - Zip Code:35570-5048
Mailing Address - Country:US
Mailing Address - Phone:205-921-2273
Mailing Address - Fax:
Practice Address - Street 1:1195 MILITARY ST S
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:AL
Practice Address - Zip Code:35570-5048
Practice Address - Country:US
Practice Address - Phone:205-921-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-084225363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF07190594OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS