Provider Demographics
NPI:1043273436
Name:PROPST, KATHERINE (APRN BC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:PROPST
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37349-0636
Mailing Address - Country:US
Mailing Address - Phone:931-728-3090
Mailing Address - Fax:931-728-3097
Practice Address - Street 1:193 RELCO DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-7386
Practice Address - Country:US
Practice Address - Phone:931-728-3090
Practice Address - Fax:931-728-3097
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000010747363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner