Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 20898 | NC |
NPI | 1790767473 |
---|---|
Provider Name | Catherine J. Everett |
First Address | New Bern, NC 28561-2065 |
Second Address | New Bern, NC 28562-5238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
153000500 | DOL (01) | NC |
30940 | BCBS OF NC (01) | NC |
37074 | VYTRA (01) | NC |
760158 | MAMSI (01) | NC |
8930940 | (05) | NC |
C5184 | MEDCOST (01) | NC |
C83690 | (02) | NC |