Basic Information
Provider Information
NPI: 1902480668
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRUMMONDS
FirstName: KATHARINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 151
Address2:  
City: NEW CASTLE
State: DE
PostalCode: 197200151
CountryCode: US
TelephoneNumber: 3026522455
FaxNumber: 3023226251
Practice Location
Address1: 404 FOXHUNT DR
Address2:  
City: BEAR
State: DE
PostalCode: 197012538
CountryCode: US
TelephoneNumber: 3028362864
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2021
LastUpdateDate: 06/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X183837TNN Nursing Service ProvidersRegistered Nurse 
363L00000XLG-0011660DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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