MEDICARE: CATHERINE HOLLAHAN ACNP

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
1	363L00000X	Nurse Practitioner	APN12232	TN

General Provider Information

NPI Number	:	1700910296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE HOLLAHAN ACNP

Provider Business Mailing Address
First Line	:	8950 US HIGHWAY 64
Second Line	:	SUITE 109
City	:	LAKELAND
State	:	TN
Zip	:	38002-4566
Country	:	US
Telephone Number	:	901-213-0100
Fax Number	:	901-213-0101

Provider Business Practice Location Address
First Line	:	8950 US HIGHWAY 64
Second Line	:	SUITE 109
City	:	LAKELAND
State	:	TN
Zip	:	38002-4566
Country	:	US
Telephone Number	:	901-213-0100
Fax Number	:	901-213-0101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	11/05/2013

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Directions to “ CATHERINE HOLLAHAN ACNP” Practice Location

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