Individual
MS. CHERYL L VANDEWEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 331-1720
(865) 331-2823
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 331-1720
(865) 331-2823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704159114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q071411
—
TN
Enumeration date
09/08/2015
Last updated
08/16/2022
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