Provider Demographics
NPI:1386640605
Name:RAAHAUGE, BRIGITTE F (CNM)
Entity type:Individual
Prefix:MRS
First Name:BRIGITTE
Middle Name:F
Last Name:RAAHAUGE
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:1923 SULPHUR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-5654
Mailing Address - Country:US
Mailing Address - Phone:423-317-9344
Mailing Address - Fax:423-714-2355
Practice Address - Street 1:2240 SUTHERLAND AVE STE 103
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2333
Practice Address - Country:US
Practice Address - Phone:865-934-6100
Practice Address - Fax:865-342-0100
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2024-09-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4098312OtherBCBS/BC/TCS
TN100048475OtherPHP TNCARE
TNTN0103OtherJOHNDEERE TNCARE
TN3660269Medicaid
TN100048475OtherPHP TNCARE