Healthcare Provider Details

I. General information

NPI: 1265479182
Provider Name (Legal Business Name): CATHERINE P SHOWFETY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 W MARKET ST STE 100
GREENSBORO NC
27403-4443
US

IV. Provider business mailing address

3511 W MARKET ST STE 100
GREENSBORO NC
27403-4443
US

V. Phone/Fax

Practice location:
  • Phone: 336-632-3505
  • Fax: 336-665-6188
Mailing address:
  • Phone: 336-632-3505
  • Fax: 336-665-6188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number68904
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: