Provider Demographics
NPI:1356858831
Name:BREMMER, MEGAN E (NP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:BREMMER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:LANSBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:730 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-3103
Mailing Address - Country:US
Mailing Address - Phone:423-265-5708
Mailing Address - Fax:423-265-5713
Practice Address - Street 1:730 E 11TH ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3103
Practice Address - Country:US
Practice Address - Phone:423-265-5708
Practice Address - Fax:423-265-5713
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily