Provider Demographics
NPI:1619171469
Name:BARBEE, KATHERINE BREW (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:BREW
Last Name:BARBEE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GIRARD ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3466
Mailing Address - Country:US
Mailing Address - Phone:301-840-8339
Mailing Address - Fax:
Practice Address - Street 1:200 GIRARD ST
Practice Address - Street 2:SUITE 212
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3466
Practice Address - Country:US
Practice Address - Phone:301-840-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDQ08019363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
012814K92Medicare ID - Type Unspecified
MDQ08019Medicare UPIN
Q08019Medicare UPIN