Individual
KATHERINE NICOLE BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
4908 S HILL VIEW DR, CHARLOTTE, NC 28210-2338
(919) 270-3669
Mailing address
401 WALNUT WOODS DR, MORRISVILLE, NC 27560-6772
(919) 270-3669
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024180325
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
217578
NC
Other
Enumeration date
04/07/2014
Last updated
03/20/2024
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