Provider Demographics
NPI:1801683644
Name:TOAL, KATERINA
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:TOAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 GATEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PEARL
Mailing Address - State:MS
Mailing Address - Zip Code:39208-4408
Mailing Address - Country:US
Mailing Address - Phone:601-345-6804
Mailing Address - Fax:
Practice Address - Street 1:410 GATEWOOD DR
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-4408
Practice Address - Country:US
Practice Address - Phone:601-345-6804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS10086959376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide