Individual
MRS. KATHERINE VAUGHAN HEMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
723 AYERSVILLE RD, MADISON, NC 27025-1505
(704) 384-7840
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005575
NC
363LA2200X
Adult Health Nurse Practitioner
5005575
NC
Other
Enumeration date
03/29/2012
Last updated
10/28/2020
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