Individual
KATHERINE MONTOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
380 W BROADWAY BLVD STE 130, JEFFERSON CITY, TN 37760-2602
(865) 584-4747
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28820
TN
363LF0000X
Family Nurse Practitioner
9315196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144731720
APRN
TN
05
—
1144731720
—
TN
Enumeration date
10/23/2017
Last updated
05/22/2024
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