Individual
KATHERINE FALLON HERRGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
13624 SPINNING WHEEL DR, GERMANTOWN, MD 20874-2816
(240) 423-3910
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AC007419
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2025
Last updated
02/27/2025
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