Healthcare Provider Details

I. General information

NPI: 1134469810
Provider Name (Legal Business Name): CATERINA ISHIKAWA GOLDBERG-DUNNETT DNP FNP-C PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2013
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 LEMA DR
SPRING HILL FL
34609-3851
US

IV. Provider business mailing address

2185 LEMA DR
SPRING HILL FL
34609-3851
US

V. Phone/Fax

Practice location:
  • Phone: 352-238-7037
  • Fax: 352-414-5145
Mailing address:
  • Phone: 352-238-7037
  • Fax: 352-414-5145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9217544
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: