Provider Demographics
NPI:1801462304
Name:KATZ, KARA (FNP-C)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 CANON GATE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-2980
Mailing Address - Country:US
Mailing Address - Phone:440-668-2091
Mailing Address - Fax:
Practice Address - Street 1:301 ASHVILLE AVE STE 111
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6131
Practice Address - Country:US
Practice Address - Phone:919-233-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014488363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily