Provider Demographics
NPI:1164425203
Name:DEPPEN, CATHY A (MD)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:A
Last Name:DEPPEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:ALICE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 440222
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0222
Mailing Address - Country:US
Mailing Address - Phone:615-874-8006
Mailing Address - Fax:615-316-4026
Practice Address - Street 1:5653 FRIST BLVD
Practice Address - Street 2:STE 738
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2066
Practice Address - Country:US
Practice Address - Phone:615-874-8006
Practice Address - Fax:615-316-4026
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30341207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG75194Medicare UPIN