Provider Demographics
NPI:1174158448
Name:NADING, CATHERINE SEVIER (FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SEVIER
Last Name:NADING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 RESERVE DR NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-5903
Mailing Address - Country:US
Mailing Address - Phone:317-517-7176
Mailing Address - Fax:
Practice Address - Street 1:4488 N SHALLOWFORD RD STE 100
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6428
Practice Address - Country:US
Practice Address - Phone:404-778-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-07
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA249763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily