Individual
CATHERINE J CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1415 OLD WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-1292
(865) 934-5800
(865) 934-5801
Mailing address
PO BOX 10988, KNOXVILLE, TN 37939-0988
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
70125
TN
363L00000X
Nurse Practitioner
Primary
13515
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508815
—
TN
01
—
4210885
BLUE CROSS BLUE SHIELD
TN
01
—
P00669009
MEDICARE RR
—
Enumeration date
01/30/2007
Last updated
07/06/2016
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