Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APN0000016617 | TN |
NPI | 1013272962 |
---|---|
Provider Name | Laura A Cutler |
First Address | Oak Ridge, TN 37830-6474 |
Second Address | Oak Ridge, TN 37830-6474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2012 |
Last Update Date | 18/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1528722 | (05) | TN |