Healthcare Provider Details

I. General information

NPI: 1720019805
Provider Name (Legal Business Name): CATHERINE IGO C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 DULANEY VALLEY RD
LUTHERVILLE TIMONIUM MD
21093-2700
US

IV. Provider business mailing address

2300 DULANEY VALLEY RD
LUTHERVILLE TIMONIUM MD
21093-2700
US

V. Phone/Fax

Practice location:
  • Phone: 410-427-7885
  • Fax:
Mailing address:
  • Phone: 410-427-7885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR118052
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: