Healthcare Provider Details

I. General information

NPI: 1235246273
Provider Name (Legal Business Name): FRANCES E CATINELLA RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W SPEEDWAY BLVD SUITE 100
TUCSON AZ
85705-7698
US

IV. Provider business mailing address

140 W SPEEDWAY BLVD SUITE 100
TUCSON AZ
85705-7698
US

V. Phone/Fax

Practice location:
  • Phone: 520-670-0918
  • Fax: 520-205-8461
Mailing address:
  • Phone: 520-670-0918
  • Fax: 520-205-8461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number534336
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: