Healthcare Provider Details

I. General information

NPI: 1154518595
Provider Name (Legal Business Name): KATHERINE PAT FOSTER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE PAT SAIN

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 CENTRAL AVENUE PIKE
KNOXVILLE TN
37912-4077
US

IV. Provider business mailing address

4405 CENTRAL AVENUE PIKE
KNOXVILLE TN
37912-4077
US

V. Phone/Fax

Practice location:
  • Phone: 865-247-7045
  • Fax: 865-249-8458
Mailing address:
  • Phone: 865-247-7045
  • Fax: 865-249-8458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5198
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number5198
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: