Individual
KATHERINE CARRERA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
14955 SHADY GROVE RD STE 380, ROCKVILLE, MD 20850-8717
(301) 424-6181
(301) 424-0834
Mailing address
14955 SHADY GROVE RD STE 380, ROCKVILLE, MD 20850-8717
(301) 424-6181
(301) 424-0834
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R262421
MD
363LP2300X
Primary Care Nurse Practitioner
R262421
MD
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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