Provider Demographics
NPI:1962110296
Name:CARES, LORRIE (APRN)
Entity type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:CARES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LORRIE
Other - Middle Name:
Other - Last Name:RITTENBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:53 WATERS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:ESTILL SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37330-3687
Mailing Address - Country:US
Mailing Address - Phone:931-492-3181
Mailing Address - Fax:
Practice Address - Street 1:208 LANE PKWY
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-3109
Practice Address - Country:US
Practice Address - Phone:931-685-9277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32567363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily