Provider Demographics
NPI:1285174979
Name:PASCO, CATHY PUTMAN (FNP-C)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:PUTMAN
Last Name:PASCO
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:PUTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 470408
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28247-0408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1304 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7226
Practice Address - Country:US
Practice Address - Phone:864-833-6287
Practice Address - Fax:864-833-0556
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20798363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily