Healthcare Provider Details

I. General information

NPI: 1821039918
Provider Name (Legal Business Name): KATHERINE W NORMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE M WERNER RN

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 05/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY BOX U109
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

341 TRANE DR
KNOXVILLE TN
37919-6053
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9220
  • Fax:
Mailing address:
  • Phone: 865-588-0880
  • Fax: 865-584-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number133045
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number075343
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: