Healthcare Provider Details

I. General information

NPI: 1518007137
Provider Name (Legal Business Name): CATHERINE ANN LUDLOW CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 SONOMA ST
REDDING CA
96001-3026
US

IV. Provider business mailing address

2100 POWELL ST STE 900
EMERYVILLE CA
94608-1844
US

V. Phone/Fax

Practice location:
  • Phone: 530-241-1144
  • Fax:
Mailing address:
  • Phone: 510-851-7423
  • Fax: 510-879-9120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP15405
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: