Basic Information
| Provider Information | |||||||||
| NPI: | 1174158448 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NADING | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | SEVIER | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 705 TOWN BLVD NE APT 467 | ||||||||
| Address2: | |||||||||
| City: | BROOKHAVEN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303193081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175177176 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4488 N SHALLOWFORD RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | DUNWOODY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303386428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047786920 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2020 | ||||||||
| LastUpdateDate: | 07/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 249763 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.