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Individual

MRS. CATHERINE ANN MARCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
110 DUNHILL PL NW STE A, CLEVELAND, TN 37311-3870
(423) 541-6195
Mailing address
PO BOX 22464, CHATTANOOGA, TN 37422-2464
(423) 541-6195

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18958
TN
363LA2100X
Acute Care Nurse Practitioner
18958
TN
363LA2100X
Acute Care Nurse Practitioner
APN0000018958
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
18958
TN
363LG0600X
Gerontology Nurse Practitioner
APN0000018958
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18958
APN LICENSE
TN
Enumeration date
07/29/2014
Last updated
09/21/2020
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