Individual
MRS. CATHERINE JANELL TEWOLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
332 SAM NEWELL RD, MATTHEWS, NC 28105-6566
(704) 302-8583
(704) 302-8548
Mailing address
8521 TONAWANDA DR, CHARLOTTE, NC 28277-1802
(704) 668-1555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5003379
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004477
—
NC
05
—
NP1296
—
SC
Enumeration date
03/02/2007
Last updated
02/04/2015
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