Healthcare Provider Details

I. General information

NPI: 1710960810
Provider Name (Legal Business Name): CATHY MARGARET BINDER RN / CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 GAFFNEY RD BASSETT ARMY COMMUNITY HOSPITAL
FT WAINWRIGHT AK
99703-5001
US

IV. Provider business mailing address

1060 GAFFNEY RD COMMANDER, USA MEDDAC-AK, ATTN: MCUC-MMD-QM
FT WAINWRIGHT AK
99703-5001
US

V. Phone/Fax

Practice location:
  • Phone: 907-353-5418
  • Fax: 907-353-4845
Mailing address:
  • Phone: 907-353-5418
  • Fax: 907-353-4845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number59
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: