Provider Demographics
NPI:1457963001
Name:CATALAN, CARRIE ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:CATALAN
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 1:118 LA GRANGE AVE
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-9591
Mailing Address - Country:US
Mailing Address - Phone:240-349-2536
Mailing Address - Fax:800-517-4345
Practice Address - Street 1:118 LA GRANGE AVE
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-9591
Practice Address - Country:US
Practice Address - Phone:240-349-2536
Practice Address - Fax:800-517-4345
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210465363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily