Healthcare Provider Details

I. General information

NPI: 1710097688
Provider Name (Legal Business Name): CATHERINE MARY VRABEL CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHERINE MARY CARDINAL RN

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 LA JOLLA VILLAGE DR
SAN DIEGO CA
92161-0002
US

IV. Provider business mailing address

3812 SIERRA MORENA AVE
CARLSBAD CA
92010-2819
US

V. Phone/Fax

Practice location:
  • Phone: 858-642-3747
  • Fax:
Mailing address:
  • Phone: 858-642-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN244113
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: