Individual
KATHRYN PENTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3786 CENTRAL PIKE STE 130, HERMITAGE, TN 37076-3498
(615) 883-2200
(615) 883-1104
Mailing address
3786 CENTRAL PIKE STE 130, HERMITAGE, TN 37076-3498
(615) 883-2200
(615) 883-1104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210852
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
21521
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023490
—
TN
Enumeration date
08/09/2016
Last updated
05/17/2024
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