Provider Demographics
NPI:1104815521
Name:KATOR, NANCY N (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:N
Last Name:KATOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 FOREST GLEN RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1459
Mailing Address - Country:US
Mailing Address - Phone:301-681-6772
Mailing Address - Fax:301-681-0346
Practice Address - Street 1:906 COLLEGE AVE SW STE A
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5428
Practice Address - Country:US
Practice Address - Phone:828-757-3301
Practice Address - Fax:828-757-3254
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-02604207V00000X
MDD0042152207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0042152OtherMEDICAL LICENSE
MDD0042152OtherMEDICAL LICENSE
DC017739O66Medicare PIN