Healthcare Provider Details

I. General information

NPI: 1306965231
Provider Name (Legal Business Name): SHERRY CATLETT FP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W 11TH AVE
APACHE JUNCTION AZ
85220-7017
US

IV. Provider business mailing address

850 W 11TH AVE
APACHE JUNCTION AZ
85220-7017
US

V. Phone/Fax

Practice location:
  • Phone: 480-203-2093
  • Fax:
Mailing address:
  • Phone: 480-203-2093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: