Healthcare Provider Details

I. General information

NPI: 1164511366
Provider Name (Legal Business Name): CATHERINE ANN LAUGESEN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE ANN JUDY

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 12/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 SAVAGE RD SUITE 6404
FORT GEORGE G MEADE MD
20755-5999
US

IV. Provider business mailing address

9800 SAVAGE RD SUITE 6404
FORT GEORGE G MEADE MD
20755-5999
US

V. Phone/Fax

Practice location:
  • Phone: 410-744-0898
  • Fax: 410-744-2007
Mailing address:
  • Phone: 301-688-7264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR140770
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: