Individual
CATHY L MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
100 5TH ST STE 310, BRISTOL, TN 37620-5919
(865) 588-3173
(865) 244-3579
Mailing address
100 5TH ST STE 310, BRISTOL, TN 37620-5919
(865) 588-3173
(865) 244-3579
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22334
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255357919
—
VA
05
—
Q008366
—
TN
Enumeration date
07/14/2006
Last updated
11/03/2025
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