MEDICARE: CATHERINE ELAINE HERMES

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1710383427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ELAINE HERMES

Provider Business Mailing Address
First Line	:	202 E EARLL DR
Second Line	:	SUITE 200
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2647
Country	:	US
Telephone Number	:	602-599-5404
Fax Number	:	602-599-5704

Provider Business Practice Location Address
First Line	:	262 E UNIVERSITY DR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-5932
Country	:	US
Telephone Number	:	602-599-5522
Fax Number	:	480-808-2712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	06/14/2026

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Directions to “ CATHERINE ELAINE HERMES ” Practice Location

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