Provider Demographics
NPI:1376849323
Name:VO-DINH, KATHERINE PHUONG-NAM (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:PHUONG-NAM
Last Name:VO-DINH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:VO-DINH
Other - Last Name:LOLLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:1 FREDERICK HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-9435
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:805-564-5087
Practice Address - Street 1:501 W 7TH ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4586
Practice Address - Country:US
Practice Address - Phone:240-251-6310
Practice Address - Fax:240-566-7754
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR116411163W00000X
OR201350063NP363LF0000X
MDR091379363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MV2504997NP201350063OtherDEA ORNP