person
Mrs. Caitlen M Petschke, PA-C
Medical Physician Assistant in Johnson City, Tennessee
NPI 1558669986

Caitlen M Petschke is a Medical Physician Assistant based in Johnson City, TN and is specialized in Medical. Caitlen M Petschke practices in Johnson City, TN and has the professional credentials of PA-C. The NPI Number for Caitlen M Petschke is 1558669986 and holds a License No. PA200351 (Tennessee).

The current practice location address for Caitlen M Petschke is 101 Med Tech Pkwy, Johnson City, TN and can be reached out via phone at 423-929-2452 and via fax at 423-929-2531.

Location: 101 Med Tech Pkwy, Johnson City, TN, 37604-4007
person
Provider Profile Details
NPI Number
1558669986
Provider Name
Caitlen M Petschke
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
101 Med Tech Pkwy, Johnson City, TN, 37604-4007
Phone Number
423-929-2452
Fax Number
423-929-2531
Provider Enumeration Date
03/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2158848 05 LA
institution
Provider Business Practice Location Address Details
Address
101 Med Tech Pkwy
City
State
Zip
37604-4007
Phone Number
423-929-2452
Fax Number
423-929-2531
person
Provider Business Mailing Address Details
Address
101 Med Tech Pkwy
City
State
Zip
37604-4007
Phone Number
423-929-2452
Fax Number
423-929-2531
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA200351 (Louisiana)
Definition
Definition to come...
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