Provider Demographics
NPI:1063248813
Name:ALLGOOD, KATARINA MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:KATARINA
Middle Name:MARIE
Last Name:ALLGOOD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 RAMBLEWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-2316
Mailing Address - Country:US
Mailing Address - Phone:610-476-1825
Mailing Address - Fax:
Practice Address - Street 1:15 E TAUNTON AVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009-1622
Practice Address - Country:US
Practice Address - Phone:856-767-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15105600363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care