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NPI Code Detail

MEDICARE: CECILIA ANN CATHEY FNP

MEDICARE:   CECILIA ANN CATHEY  FNP
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 PractitionerR067840-3MN

General Provider Information

NPI Number : 1144294166
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA ANN CATHEY FNP
Provider Business Mailing Address
First Line : 815 31ST AVE N
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-2345
Country : US
Telephone Number : 320-252-6680
Fax Number :
Provider Business Practice Location Address
First Line : 333 WASHINGTON AVE N
Second Line : # 5000
City : MINNEAPOLIS
State : MN
Zip : 55401-1377
Country : US
Telephone Number : 612-659-7111
Fax Number : 612-659-7101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 01/22/2009

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Directions to “ CECILIA ANN CATHEY FNP” Practice Location

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