Individual
LORRIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
744 MIDDLE CREEK RD STE 114, SEVIERVILLE, TN 37862
(865) 446-9575
Mailing address
744 MIDDLE CREEK RD STE 114, SEVIERVILLE, TN 37862-5036
(865) 446-9575
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19942
TN
363LA2100X
Acute Care Nurse Practitioner
RN102375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q014506
—
TN
Enumeration date
11/14/2011
Last updated
06/23/2020
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