Provider Demographics
NPI:1700185469
Name:BREHEN, TAMI SOLBERG (NP)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:SOLBERG
Last Name:BREHEN
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 1:1060 WILLIAM WAY NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-4369
Mailing Address - Country:US
Mailing Address - Phone:423-478-1050
Mailing Address - Fax:
Practice Address - Street 1:1060 WILLIAM WAY NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-4369
Practice Address - Country:US
Practice Address - Phone:423-478-1050
Practice Address - Fax:423-478-1075
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily