Provider Demographics
NPI:1609507953
Name:WHITE, KATELYN ROWE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:ROWE
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KATELYN
Other - Middle Name:MICHELLE
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2567 CHADWICK PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-4013
Mailing Address - Country:US
Mailing Address - Phone:252-665-2181
Mailing Address - Fax:
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:252-665-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program