Individual
KATHERINE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1001 BLYTHE BLVD, SUITE 300 - ADULT CARDIOLOGY, CHARLOTTE, NC 28203-5866
(704) 373-0212
(704) 373-1216
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(704) 373-0212
(704) 373-1216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008896
NC
363LA2100X
Acute Care Nurse Practitioner
5008896
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073060851
—
NC
05
—
NP4166
—
SC
Enumeration date
09/08/2016
Last updated
02/16/2017
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