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NPI Code Detail

MEDICARE: MS. CATHERINE A BLUME APNP

MEDICARE: MS. CATHERINE A BLUME APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1919033WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
232814200OTHERPINH
31919-033OTHERWIAPNP

General Provider Information

NPI Number : 1083602056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE A BLUME APNP
Provider Business Mailing Address
First Line : 1450 EASTSIDE RD
Second Line :
City : PLATTEVILLE
State : WI
Zip : 53818-9800
Country : US
Telephone Number : 608-348-4330
Fax Number :
Provider Business Practice Location Address
First Line : 1450 EASTSIDE RD
Second Line :
City : PLATTEVILLE
State : WI
Zip : 53818-9800
Country : US
Telephone Number : 608-348-4330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 03/07/2023

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