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AMBER BRIANA HENEGAR LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1861097651
Individual Registrant: AMBER BRIANA HENEGAR LPN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
124 HUGHES RD WATAUGA, TN 37694-3147 US
Tel: 423-707-4255 Fax: --
Tel: 423-707-4255 Fax: --
Contact information for business:
124 HUGHES RD WATAUGA, TN 37694-3147 US
Tel: 423-707-4255 Fax: --
Tel: 423-707-4255 Fax: --
Registration Information:
NPI: 1861097651
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | TN | LPN0000085347 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NURSING LICENSE | LPN0000085347 | TN | 01 |
