Provider Demographics
NPI:1346931714
Name:LOEWY, KATJA (LPN)
Entity Type:Individual
Prefix:
First Name:KATJA
Middle Name:
Last Name:LOEWY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 HIGHLAND TER
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4425
Mailing Address - Country:US
Mailing Address - Phone:301-928-0466
Mailing Address - Fax:
Practice Address - Street 1:312 HIGHLAND TER
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4425
Practice Address - Country:US
Practice Address - Phone:301-928-0466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR00123164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse