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NPI Code Detail

MEDICARE: KATRINA BARON PMHNP

MEDICARE:   KATRINA  BARON  PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse280734NC
2363LP0808XPsychiatric/Mental Health Nurse Practitioner0024182794VI
3363LP0808XPsychiatric/Mental Health Nurse Practitioner5020508NC

General Provider Information

NPI Number : 1326718404
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA BARON PMHNP
Provider Business Mailing Address
First Line : 1748 HERITAGE CENTER DR STE 101
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9855
Country : US
Telephone Number : 919-529-5920
Fax Number : 919-529-5933
Provider Business Practice Location Address
First Line : 1748 HERITAGE CENTER DR STE 101
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9855
Country : US
Telephone Number : 919-529-5920
Fax Number : 919-529-5933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2021
Last Update Date : 07/31/2025

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