Healthcare Provider Details

I. General information

NPI: 1841900537
Provider Name (Legal Business Name): CATHERINE N LOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 BEWLEY RD
MOSHEIM TN
37818-5423
US

IV. Provider business mailing address

815 BEWLEY RD
MOSHEIM TN
37818-5423
US

V. Phone/Fax

Practice location:
  • Phone: 423-341-1595
  • Fax:
Mailing address:
  • Phone: 423-341-1595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number00214343
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: