Individual
MRS. AGNES COUGHLIN FRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
57 GERMANTOWN CT STE 100, CORDOVA, TN 38018-4274
(901) 435-8550
(901) 478-0781
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12377
STATE LICENSE
TN
Enumeration date
11/14/2006
Last updated
05/04/2026
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