Healthcare Provider Details

I. General information

NPI: 1982704391
Provider Name (Legal Business Name): KATHERINE E ORR CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 MCMINNVILLE HWY
MANCHESTER TN
37355-3179
US

IV. Provider business mailing address

100 WILLIAM NORTHERN BLVD
TULLAHOMA TN
37388-4754
US

V. Phone/Fax

Practice location:
  • Phone: 931-728-6205
  • Fax: 931-728-9818
Mailing address:
  • Phone: 931-454-0489
  • Fax: 931-454-2348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN08247
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: