Provider Demographics
NPI:1639395569
Name:ROVETTI, CORINNE SANDY (FNP)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:SANDY
Last Name:ROVETTI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 W CLINCH AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2501
Mailing Address - Country:US
Mailing Address - Phone:865-573-0945
Mailing Address - Fax:
Practice Address - Street 1:1547 W CLINCH AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2501
Practice Address - Country:US
Practice Address - Phone:865-637-3861
Practice Address - Fax:865-637-0222
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN6035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily