Provider Demographics
NPI:1962844431
Name:LANHAM, CATHERINE ROWENA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ROWENA
Last Name:LANHAM
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:PO BOX 242
Mailing Address - Street 2:
Mailing Address - City:BUCKEYSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21717
Mailing Address - Country:US
Mailing Address - Phone:301-305-5620
Mailing Address - Fax:
Practice Address - Street 1:6941 MICHAELS MILL RD
Practice Address - Street 2:
Practice Address - City:ADAMSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21710
Practice Address - Country:US
Practice Address - Phone:301-305-5620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR159693163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency