Provider Demographics
NPI:1124765151
Name:SHRUM, BRIANNA NICOLE (CPM)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:NICOLE
Last Name:SHRUM
Suffix:
Gender:
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250B OLD WOLF HILL RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37022-8515
Mailing Address - Country:US
Mailing Address - Phone:615-998-6413
Mailing Address - Fax:615-622-8757
Practice Address - Street 1:250B OLD WOLF HILL RD
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:TN
Practice Address - Zip Code:37022-8515
Practice Address - Country:US
Practice Address - Phone:615-998-6413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife