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Zhanna Yurievna Efflandt

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224

PECOS Enrollment

This provider is enrolled in PECOS as ZHANNA EFFLANDT.

Based on the most recent information from CMS, provider Zhanna Yurievna Efflandt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:00 AM.

Profile Details

Provider ID
1295222586
Provider Type
Individual
Full Name
Efflandt, Zhanna Yurievna
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/23/2018
Last Updated
3/22/2019

Contact Information

Practice Location

2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224

(865) 546-3111

(865) 541-8629

Mailing Location

PO Box 15004, Knoxville, TN 37901-5004

(865) 541-8895

(865) 633-4808

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 23697 Tennessee
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 23697 Tennessee

Provider Identifiers

ID	Description	Issuer
ID Q036958	Description Medicaid	Issuer Unlisted Tennessee

Zhanna Yurievna Efflandt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Bryant, Vincent H.

Archer, Tanya

Haynes, Christy

Henderson, Afeni D.

Blair, Candice Laura

Montgomery, Olivia R

Taylor, Erik

Schleigh, Megan Chantel

Golliher, Jessica

Fort, Alexandra