Individual
KATHERINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5674
(901) 287-6804
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-5674
(901) 287-6804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
194797
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
37543
TN
Other
Enumeration date
09/12/2022
Last updated
11/19/2024
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