Provider Demographics
NPI:1225741176
Name:NEIGHBORS, KATHERINE CORPENING (NP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CORPENING
Last Name:NEIGHBORS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 PARKWAY OFFICE CT STE 201
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7425
Mailing Address - Country:US
Mailing Address - Phone:919-476-1118
Mailing Address - Fax:
Practice Address - Street 1:135 PARKWAY OFFICE CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7424
Practice Address - Country:US
Practice Address - Phone:919-476-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNEIG-DIIQL363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics