Provider Demographics
NPI:1700029816
Name:CATLIN, PATRICIA JOY (APRN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JOY
Last Name:CATLIN
Suffix:
Gender:F
Credentials:APRN
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 907
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-0907
Mailing Address - Country:US
Mailing Address - Phone:931-363-9568
Mailing Address - Fax:931-363-9563
Practice Address - Street 1:1150 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4519
Practice Address - Country:US
Practice Address - Phone:931-363-9568
Practice Address - Fax:931-363-9563
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN1417363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
4235916OtherBCBS
TN1513589Medicaid
3345585Medicare PIN