Provider Demographics
NPI:1932561669
Name:CHAMBERLAIN, KATIE HORNE (NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:HORNE
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:NNP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2424 ERWIN RD STE 504
Mailing Address - Street 2:BOX 2739
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3826
Mailing Address - Country:US
Mailing Address - Phone:919-681-5551
Mailing Address - Fax:919-681-6065
Practice Address - Street 1:2424 ERWIN RD STE 504
Practice Address - Street 2:BOX 2739
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3826
Practice Address - Country:US
Practice Address - Phone:919-681-5551
Practice Address - Fax:919-681-6065
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5008458363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal