Provider Demographics
NPI:1104985688
Name:FLOWERS, KATE R (CRNP)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:R
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:REINHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 631568
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-1568
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6535 N CHARLES ST
Practice Address - Street 2:125
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5826
Practice Address - Country:US
Practice Address - Phone:443-849-3779
Practice Address - Fax:443-849-3767
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR104395163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD007578700Medicaid
MAS1270009OtherCAREFIRST REGIONAL GBMC
MDKJ73GB/88464603OtherCAREFIRST MD GBMC
MAS1270009OtherCAREFIRST REGIONAL GBMC
MDKJ73GB/88464603OtherCAREFIRST MD GBMC