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Individual

CATHERINE RUTH HANOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 MEDICAL PARK BLVD, SUITE 200E, BRISTOL, TN 37620-7459
(423) 844-5100
(423) 844-5109
Mailing address
999 EXECUTIVE PARK BLVD, KINGSPORT, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024168312
VA
363LF0000X
Family Nurse Practitioner
Primary
14482
TN

Other

Enumeration date
05/18/2009
Last updated
07/27/2012
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