Individual
DEENA CANTRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916
(865) 331-1720
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 331-1720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178375
TN
363LF0000X
Family Nurse Practitioner
Primary
21365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q028950
—
TN
Enumeration date
06/21/2016
Last updated
08/25/2020
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