Provider Demographics
NPI:1578077566
Name:WILLMAN, CATHERINE M (CRNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:WILLMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 W. PRATT STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21223
Mailing Address - Country:US
Mailing Address - Phone:443-462-3400
Mailing Address - Fax:443-462-3086
Practice Address - Street 1:1001 W. PRATT STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223
Practice Address - Country:US
Practice Address - Phone:443-462-3400
Practice Address - Fax:443-462-3086
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210368363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health