Healthcare Provider Details

I. General information

NPI: 1780326504
Provider Name (Legal Business Name): AMBER NICHOLE CATE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 BABBS RD
LENOIR CITY TN
37771-3625
US

IV. Provider business mailing address

611 BABBS RD
LENOIR CITY TN
37771-3625
US

V. Phone/Fax

Practice location:
  • Phone: 865-567-8133
  • Fax:
Mailing address:
  • Phone: 865-567-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32118
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number188524
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: