Individual
CATHERINE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1715 INDIAN WOOD CIR, SUITE 200, OFFICE 266 & 255, MAUMEE, OH 43537-4055
(419) 578-8594
(855) 618-2622
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.14004-NP
OH
363LF0000X
Family Nurse Practitioner
COA 14004
OH
Other
Enumeration date
10/23/2012
Last updated
05/09/2014
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