Tewolde, Catherine Janell

Tewolde, Catherine Janell is an individual health care provider with primary practice located at 332 Sam Newell Rd , Matthews NC 28105-6566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Tewolde, Catherine Janell can be contacted via phone (704) 302-8583.

Contact Information

Primary practice address
332 Sam Newell Rd Matthews NC 28105-6566
Phone: (704) 302-8583
Fax: (704) 302-8548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5003379 North Carolina

Profile Details

NPI number 1194854778
LBN Legal business name Tewolde, Catherine Janell
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Feb 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194854778 NPPES
North Carolina MEDICAID 7004477
North Carolina MEDICAID NP1296

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