Individual
MRS. KATHERINE VANDERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1135 CARTHAGE ST, SANFORD, NC 27330
(919) 774-2100
Mailing address
3490 REGENT BRANCH DR, NEW HILL, NC 27562-9316
(252) 904-2090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
269061
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
269061
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2019
Last updated
08/22/2019
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