Individual
KATHERINE A CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CPNP
Contact information
Practice address
1455 25TH AVENUE DR NE, HICKORY, NC 28601-9677
(828) 324-4453
(828) 324-9295
Mailing address
1455 25TH AVE. DR. NE, HICKORY, NC 28601-9655
(828) 324-4453
(828) 324-9295
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
168048
NC
Other
Enumeration date
07/08/2008
Last updated
11/01/2011
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