Healthcare Provider Details

I. General information

NPI: 1194971366
Provider Name (Legal Business Name): KATHERINE L CARATHERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING RD STE 300 MEDICAL PLAZA EAST
NASHVILLE TN
37205-2158
US

IV. Provider business mailing address

8832 GREER RD
LYLES TN
37098-3006
US

V. Phone/Fax

Practice location:
  • Phone: 615-783-1269
  • Fax:
Mailing address:
  • Phone: 931-670-3769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0000158327
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: