Provider Demographics
NPI:1902567803
Name:AMANN, BRI (CD)
Entity Type:Individual
Prefix:
First Name:BRI
Middle Name:
Last Name:AMANN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MOSS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1319
Mailing Address - Country:US
Mailing Address - Phone:615-509-9041
Mailing Address - Fax:
Practice Address - Street 1:500 MOSS LANDING DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-1319
Practice Address - Country:US
Practice Address - Phone:615-509-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula