Provider Demographics
NPI:1699052761
Name:CATLEDGE, COURTNEY BROOKS (DNP APRN FNP)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:BROOKS
Last Name:CATLEDGE
Suffix:
Gender:F
Credentials:DNP APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 CRAIG AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-8227
Mailing Address - Country:US
Mailing Address - Phone:803-285-5103
Mailing Address - Fax:
Practice Address - Street 1:1135 CRAIG AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-8227
Practice Address - Country:US
Practice Address - Phone:803-285-5103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily