Provider Demographics
NPI:1477596823
Name:WEBER, LOUANNE KAUCHER (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:
First Name:LOUANNE
Middle Name:KAUCHER
Last Name:WEBER
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 MCCALLIE AVE., DEPT. 6856
Mailing Address - Street 2:THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA STUDENT HEAL
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2598
Mailing Address - Country:US
Mailing Address - Phone:423-425-2266
Mailing Address - Fax:423-425-2305
Practice Address - Street 1:615 MCCALLIE AVE., DEPT. 6856
Practice Address - Street 2:THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA STUDENT HEAL
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2598
Practice Address - Country:US
Practice Address - Phone:423-425-2266
Practice Address - Fax:423-425-2305
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPRN 301363LF0000X
TNAPN0000005349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN0000005349OtherNURSING LICENSE
SCS94686Medicare UPIN
SCAPRN 301OtherNURSING LICENSE