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NPI 1356977623

NPI 1356977623 : CATELYN INMAN PMHNP-BC : STATESVILLE, NC

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General NPI Number Information
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    NPI Number           |    1356977623
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    Entity Type          |    Individual 
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    Provider Name        |    CATELYN INMAN PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2020
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    Last Update Date     |    07/25/2026
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Provider Practice Location Address
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    Address Line         |    633 BROOKDALE DR STE 200 
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    City                 |    STATESVILLE
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    State                |    NC
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    Zip                  |    28677-3471
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    Country              |    US
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    Telephone            |    704-317-2931
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    Fax                  |    704-200-9829
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Provider Business Mailing Address
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    Address Line         |    633 BROOKDALE DR STE 200 
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    City                 |    STATESVILLE
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    State                |    NC
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    Zip                  |    28677-3471
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    Country              |    US
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    Telephone            |    704-317-2931
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    Fax                  |    704-200-9829
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    263179
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    5013004
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    License Number State |    NC
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