Provider Demographics
NPI:1659599926
Name:GILDE, KATHERINE TROUP (RN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:TROUP
Last Name:GILDE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 GAYLE DR
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2103
Mailing Address - Country:US
Mailing Address - Phone:410-222-6587
Mailing Address - Fax:
Practice Address - Street 1:525 WELLHAM AVE
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2162
Practice Address - Country:US
Practice Address - Phone:410-787-6102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR168862163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool