Healthcare Provider Details

I. General information

NPI: 1033934922
Provider Name (Legal Business Name): CATHERINE GITTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/18/2024
Certification Date: 11/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 FISH HATCHERY RD
MADISON WI
53715-1909
US

IV. Provider business mailing address

5119 BROOKFIELD PKWY APT 302
MADISON WI
53718-2143
US

V. Phone/Fax

Practice location:
  • Phone: 608-252-7757
  • Fax:
Mailing address:
  • Phone: 920-540-7849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number260764-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: