Provider Demographics
NPI:1457013138
Name:WALDEN, KATHERINE E (CD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:E
Last Name:WALDEN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 BLAKEFORD DR
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-7470
Mailing Address - Country:US
Mailing Address - Phone:919-356-4302
Mailing Address - Fax:
Practice Address - Street 1:174 BLAKEFORD DR
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-7470
Practice Address - Country:US
Practice Address - Phone:919-356-4302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-09
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty