MEDICARE: KATRINA MOUZON CNA

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
1	376K00000X	Nurse's Aide	464394	NC

General Provider Information

NPI Number	:	1558068817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA MOUZON CNA

Provider Business Mailing Address
First Line	:	8911 BOW RD APT 112
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-4452
Country	:	US
Telephone Number	:	704-299-9905
Fax Number	:

Provider Business Practice Location Address
First Line	:	8911 BOW RD APT 112
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-4452
Country	:	US
Telephone Number	:	704-299-9905
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	02/07/2023

Similar Medicare Providers

1154823227 — MS. MAEKELA DELK LCMHCA
Practice Location Address:

2418 MADELINE MEADOW DR
CHARLOTTE, NC
28217-3632

Practice Phone: 615-830-4391
Practice Fax:

1164051231 — MISS SYDNEY GUYTON RN, A-GNP, APRN
Practice Location Address:

6047 TYVOLA GLEN CIR
CHARLOTTE, NC
28217-6431

Practice Phone: 443-383-9300
Practice Fax: 855-866-8710

1215625942 — PRISCILLA SERWAA ACHIREM
Practice Location Address:

6047 TYVOLA GLEN CIR STE 100
CHARLOTTE, NC
28217-6431

Practice Phone: 443-383-9300
Practice Fax: 855-866-8710

1134873466 — BETHANY SHIELDS NP
Practice Location Address:

6047 TYVOLA GLEN CIR STE 100
CHARLOTTE, NC
28217-6431

Practice Phone: 443-383-9300
Practice Fax:

1477089811 — RACHEL BETHANY BERLIN NP
Practice Location Address:

6047 TYVOLA GLEN CIR STE 100
CHARLOTTE, NC
28217-6431

Practice Phone: 443-383-9300
Practice Fax:

1508306226 — MRS. MARY KATHERINE KING
Practice Location Address:

6047 TYVOLA GLEN CIR STE 100
CHARLOTTE, NC
28217-6431

Practice Phone: 443-383-9300
Practice Fax:

Directions to “ KATRINA MOUZON CNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.