Provider Demographics
NPI:1790217180
Name:PIRNER, CATHLEEN MARIE (FNP,MSN)
Entity type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:MARIE
Last Name:PIRNER
Suffix:
Gender:F
Credentials:FNP,MSN
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:MARIE
Other - Last Name:HAYDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:985 PRINCE FREDERICK BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3492
Mailing Address - Country:US
Mailing Address - Phone:410-535-2005
Mailing Address - Fax:410-535-4850
Practice Address - Street 1:14090 HG TRUEMAN RD STE 2500
Practice Address - Street 2:
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-3151
Practice Address - Country:US
Practice Address - Phone:410-535-2005
Practice Address - Fax:410-535-4850
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186175363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily