Individual
CHERYL LYNN WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
312 N CHANCERY ST, MCMINNVILLE, TN 37110-2048
(931) 474-7000
(931) 474-7040
Mailing address
6701 BAUM DR, SUITE 140, KNOXVILLE, TN 37919-7360
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16249
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000016249
TN
Other
Enumeration date
01/24/2012
Last updated
06/07/2012
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