Provider Demographics
NPI:1669879714
Name:MAIER, CATHERINE LOGAN (NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LOGAN
Last Name:MAIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:MCAFEE
Other - Last Name:LOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:275 SPRING LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-7645
Mailing Address - Country:US
Mailing Address - Phone:510-316-8593
Mailing Address - Fax:
Practice Address - Street 1:275 SPRING LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-7645
Practice Address - Country:US
Practice Address - Phone:510-316-8593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA836520163W00000X
VA0024181279363LF0000X, 163W00000X
CA95001955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse