Provider Demographics
NPI:1194496752
Name:GOLEY, KATHERINE GOLLADAY (RN, BSN, MSN, WHNP)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:GOLLADAY
Last Name:GOLEY
Suffix:
Gender:F
Credentials:RN, BSN, MSN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404A OTAY ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3807
Mailing Address - Country:US
Mailing Address - Phone:864-561-6672
Mailing Address - Fax:
Practice Address - Street 1:345 23RD AVE N STE 401
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1513
Practice Address - Country:US
Practice Address - Phone:615-321-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30403363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health