Healthcare Provider Details

I. General information

NPI: 1215571799
Provider Name (Legal Business Name): CATRENA DANETRA FINDLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 10/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 CENTRAL AVENUE JOINT BASE PEARL HARBOR HICKAM
HONOLULU HI
86860-4908
US

IV. Provider business mailing address

2415 CHALLENGER LOOP APT A
HONOLULU HI
96818-4849
US

V. Phone/Fax

Practice location:
  • Phone: 808-473-1880
  • Fax:
Mailing address:
  • Phone: 903-330-2282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number726038
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number726038
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: