Individual
PATRICIA B CATHELYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1114 SUNSET DR, SUITE 4, JOHNSON CITY, TN 37604-2969
(423) 283-0776
(423) 283-0549
Mailing address
PO BOX 3727, JOHNSON CITY, TN 37602-3727
(423) 283-0776
(423) 283-0549
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000091811
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3626645
—
TN
Enumeration date
08/10/2005
Last updated
10/29/2009
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