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Individual

MRS. KATELYN DIANA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1720 GUNBARREL RD STE 400, CHATTANOOGA, TN 37421-3192
(423) 497-5359
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23934
TN
363LF0000X
Family Nurse Practitioner
GAA-NP002185
GA

Other

Enumeration date
06/19/2018
Last updated
06/05/2024
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