Provider Demographics
NPI:1740400910
Name:CATHERS, TERA LOUISE (LPN)
Entity Type:Individual
Prefix:
First Name:TERA
Middle Name:LOUISE
Last Name:CATHERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:TERA
Other - Middle Name:LOUISE
Other - Last Name:CATHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:25066 TRAVIS TRL
Mailing Address - Street 2:
Mailing Address - City:WORTON
Mailing Address - State:MD
Mailing Address - Zip Code:21678-1969
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 MORGNEC RD
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1026
Practice Address - Country:US
Practice Address - Phone:410-778-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP34159164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse