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Mrs. Connie M Tatgenhorst, NP
Family Nurse Practitioner in Knoxville, Tennessee
NPI 1023100021

Connie M Tatgenhorst is a Family Nurse Practitioner based in Knoxville, TN and is specialized in Family. Connie M Tatgenhorst practices in Knoxville, TN and has the professional credentials of NP. The NPI Number for Connie M Tatgenhorst is 1023100021 and holds a License No. 12263 (Tennessee).

The current practice location address for Connie M Tatgenhorst is 1924 Alcoa Hwy # U67, Knoxville, TN and can be reached out via phone at 865-305-9350 and via fax at 865-305-8681.

Location: 1924 Alcoa Hwy # U67, Knoxville, TN, 37920-1511
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Provider Profile Details
NPI Number
1023100021
Provider Name
Connie M Tatgenhorst
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1924 Alcoa Hwy # U67, Knoxville, TN, 37920-1511
Phone Number
865-305-9350
Fax Number
865-305-8681
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3373352 01 TN MEDICARE LEGACY GROUP
3044823 05 TN
103I506189 01 TN MEDICARE INDIVIDUAL PTAN
3706633 01 TN MEDICARE LEGACY GROUP
1689631137 01 TN GROUP NPI
3373352 01 TN UFP MEDICAID GRP
institution
Provider Business Practice Location Address Details
Address
1924 Alcoa Hwy # U67
City
State
Zip
37920-1511
Phone Number
865-305-9350
Fax Number
865-305-8681
person
Provider Business Mailing Address Details
Address
1924 Alcoa Hwy # U67
City
State
Zip
37920-1511
Phone Number
865-305-9350
Fax Number
865-305-8681
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12263 (Tennessee)
Definition
Definition to come...
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