Basic Information
Provider Information
NPI: 1427447887
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EMFINGER
FirstName: LUYAN
MiddleName: ZHAO
NamePrefix:  
NameSuffix:  
Credential: PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ZHAO
OtherFirstName: LUYAN
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1113 MURFREESBORO RD STE 319
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370641312
CountryCode: US
TelephoneNumber: 6157900567
FaxNumber:  
Practice Location
Address1: 1113 MURFREESBORO RD STE 319
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370641312
CountryCode: US
TelephoneNumber: 6157900567
FaxNumber: 6155958030
Other Information
ProviderEnumerationDate: 01/22/2015
LastUpdateDate: 12/14/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  N Behavioral Health & Social Service ProvidersCounselorMental Health
363LP0808X23474TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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