Provider Demographics
NPI:1679520969
Name:CATCHINGS, SUSAN HOWARD (FNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:HOWARD
Last Name:CATCHINGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 CRESCENT COMMONS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8102
Mailing Address - Country:US
Mailing Address - Phone:919-803-3707
Mailing Address - Fax:919-803-1969
Practice Address - Street 1:115 CRESCENT COMMONS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8102
Practice Address - Country:US
Practice Address - Phone:919-803-3707
Practice Address - Fax:919-803-1969
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200622207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89126ETMedicaid
NC5915116Medicaid
NC5915116Medicaid
NCS99841Medicare UPIN
2339104Medicare PIN