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NPI Code Detail

MEDICARE: CATHERINE D CUSTER FNP

MEDICARE:   CATHERINE D CUSTER  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0000110299TN

General Provider Information

NPI Number : 1144328543
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE D CUSTER FNP
Provider Business Mailing Address
First Line : 9137 MIDDLEBROOK PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-1425
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 9137 MIDDLEBROOK PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-1425
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/21/2022

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Directions to “ CATHERINE D CUSTER FNP” Practice Location

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