Healthcare Provider Details

I. General information

NPI: 1073067484
Provider Name (Legal Business Name): DONNA L CATALANO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 08/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EMANCIPATION DR EMERGENCY DEPARTMENT
HAMPTON VA
23667-0001
US

IV. Provider business mailing address

713 KEELING DR
CHESAPEAKE VA
23322-6206
US

V. Phone/Fax

Practice location:
  • Phone: 757-722-9961
  • Fax:
Mailing address:
  • Phone: 757-546-9731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024173579
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: