Provider Demographics
NPI:1073388419
Name:COHAN, RITA VANESIA (RN)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:VANESIA
Last Name:COHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9905 BRANNIGAN CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1966
Mailing Address - Country:US
Mailing Address - Phone:865-617-1595
Mailing Address - Fax:
Practice Address - Street 1:9905 BRANNIGAN CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1966
Practice Address - Country:US
Practice Address - Phone:865-617-1595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000090965163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse