Healthcare Provider Details

I. General information

NPI: 1871270132
Provider Name (Legal Business Name): CATHARINE CANTANDO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ROCKLAND RD
WILMINGTON DE
19803-3607
US

IV. Provider business mailing address

706 PINE RIDGE RD
MEDIA PA
19063-1720
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-4000
  • Fax:
Mailing address:
  • Phone: 856-404-5265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberL1-0053775
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN648890
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: