Mark Cloutier
Nurse Practitioner, Family in Chattanooga, TN. Individual provider (NPI-1).
NPI number1124476007
StatusActive
Last updated in NPPESJun 1, 2016
Details
- NPI
- 1124476007
- Entity type
- Individual (NPI-1)
- Name
- Mark Cloutier
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2016
- Last updated
- Jun 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 21249 | TN | Yes |
Practice location
1809 Gunbarrel RdChattanooga, TN 37421-7185
Phone 429-893-9020
Mailing address
1809 Gunbarrel RdChattanooga, TN 37421-7185
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