Provider Demographics
NPI:1457545634
Name:CATE, MICHELLE D (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:D
Last Name:CATE
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 1:113 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BULLS GAP
Mailing Address - State:TN
Mailing Address - Zip Code:37711-4735
Mailing Address - Country:US
Mailing Address - Phone:423-393-4212
Mailing Address - Fax:423-393-4257
Practice Address - Street 1:113 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BULLS GAP
Practice Address - State:TN
Practice Address - Zip Code:37711-4735
Practice Address - Country:US
Practice Address - Phone:423-393-4212
Practice Address - Fax:423-393-4257
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000012848363LF0000X
TNAPN12848363LF0000X
TNRN126047163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I504328Medicare PIN