Healthcare Provider Details

I. General information

NPI: 1851154819
Provider Name (Legal Business Name): SADIE ARBUTHNOT COWAN CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 BLACKFORD ST
CHATTANOOGA TN
37403-1405
US

IV. Provider business mailing address

5017 WATERSTONE DR
CHATTANOOGA TN
37416-3161
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-6011
  • Fax:
Mailing address:
  • Phone: 423-368-8967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number35637
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: