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Individual

CATHERINE LOUISE MYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, AMHNP

Contact information

Practice address
219 LE PHILLIP CT NE, CONCORD, NC 28025-2900
(704) 721-5551
(704) 721-5579
Mailing address
2933 COLLINSVILLE RD., COLUMBUS, NC 28722
(828) 863-2771
(828) 894-8456

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
950016
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005017
NC
Enumeration date
05/16/2006
Last updated
06/12/2017
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