MEDICARE: MR. RICHARD C. FREE F.N.P.

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	APN7948	TN

General Provider Information

NPI Number	:	1801836465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD C. FREE F.N.P.

Provider Business Mailing Address
First Line	:	1225 E WEISGARBER RD
Second Line	:	SUITE 200
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2604
Country	:	US
Telephone Number	:	865-584-4747
Fax Number	:	865-584-1363

Provider Business Practice Location Address
First Line	:	721 HIGHWAY 321 N
Second Line	:	SUITE C
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-5003
Country	:	US
Telephone Number	:	865-986-3283
Fax Number	:	865-986-3339

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/17/2014

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