Doctor Name: | MRS. KATRINA H DENEGRI |
NPI Number: | 1003813023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GNP |
License Number: | APN0000008186 |
Business Practice Address: | 1726 Poplar Ave Memphis, TN - 381046426 |
Business Phone Number: | 9017250872 |
Business Fax Number: | 9012786934 |
Mailing Address: | Po Box 820406, MEMPHIS |
State: | TN |
Postal Code: | 381820406 |
Phone Number: | 9017250872 |
Fax Number: | 9012786934 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | APN0000008186 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |