Healthcare Provider Details

I. General information

NPI: 1376849323
Provider Name (Legal Business Name): KATHERINE PHUONG-NAM VO-DINH FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE VO-DINH LOLLAR FNP-BC

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W 7TH ST
FREDERICK MD
21701-4586
US

IV. Provider business mailing address

1 FREDERICK HEALTH WAY
FREDERICK MD
21701-9435
US

V. Phone/Fax

Practice location:
  • Phone: 240-251-6310
  • Fax: 240-566-7754
Mailing address:
  • Phone:
  • Fax: 805-564-5087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR116411
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201350063NP
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR091379
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: