Healthcare Provider Details

I. General information

NPI: 1154337368
Provider Name (Legal Business Name): KATHRINE M. WARE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRINE M. HELMS NP

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 05/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 MARVEL CT
EASTON MD
21601
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR STE 650
GREENBELT MD
20770-3560
US

V. Phone/Fax

Practice location:
  • Phone: 301-486-4690
  • Fax: 301-441-8809
Mailing address:
  • Phone: 301-982-2000
  • Fax: 301-982-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR205928
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: