Healthcare Provider Details

I. General information

NPI: 1306135173
Provider Name (Legal Business Name): CATHLEEN MICHELE RAPP N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 MOUNTAIN VIEW AVE #3
MOUNTAIN VIEW CA
94041-1195
US

IV. Provider business mailing address

216 MOUNTAIN VIEW AVE #3
MOUNTAIN VIEW CA
94041-1195
US

V. Phone/Fax

Practice location:
  • Phone: 831-359-1329
  • Fax: 650-386-1312
Mailing address:
  • Phone: 831-359-1329
  • Fax: 650-386-1312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: