Individual
KATELYN E MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4207 LAKE BOONE TRL, SUITE 220, RALEIGH, NC 27607-6684
(919) 784-1410
(919) 784-1409
Mailing address
4207 LAKE BOONE TRL, SUITE 220, RALEIGH, NC 27607-6684
(919) 784-1410
(919) 784-1409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04375
NC
363A00000X
Physician Assistant
50-003301
OH
Other
Enumeration date
09/20/2011
Last updated
11/18/2013
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