Healthcare Provider Details

I. General information

NPI: 1013972330
Provider Name (Legal Business Name): CATHERINE THOMPSON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W BERKELEY ST
UNIONTOWN PA
15401-5514
US

IV. Provider business mailing address

771 LINMORE DR
IRWIN PA
15642-7532
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-6730
  • Fax:
Mailing address:
  • Phone: 724-864-6429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN274967L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: