Basic Information
Provider Information
NPI: 1568631620
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SETZER
FirstName: LUANNE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MORRIS
OtherFirstName: LUANNE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: DEPARTMENT 888182
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379958182
CountryCode: US
TelephoneNumber: 8003553565
FaxNumber: 4237142355
Practice Location
Address1: 7714 CONNER RD
Address2:  
City: POWELL
State: TN
PostalCode: 378493559
CountryCode: US
TelephoneNumber: 8659476220
FaxNumber: 8655121069
Other Information
ProviderEnumerationDate: 02/22/2008
LastUpdateDate: 03/24/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0808XRN451555TNY Nursing Service ProvidersRegistered NursePsych/Mental Health

No ID Information.


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