Individual
MISS CATHERINE LEAH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2810 16TH ST NE, HICKORY, NC 28601
(828) 324-0359
(828) 324-0358
Mailing address
2810 16TH ST NE, HICKORY, NC 28601-9600
(828) 324-0359
(828) 324-0358
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235622515
—
NC
Enumeration date
06/11/2018
Last updated
07/02/2018
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