MEDICARE: CATHERINE W MAINA

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN9323752	FL

General Provider Information

NPI Number	:	1821860651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE W MAINA

Provider Business Mailing Address
First Line	:	2441 VILLAGE BLVD APT 303
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7366
Country	:	US
Telephone Number	:	561-752-6365
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 N 102ND ST STE 300
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-2122
Country	:	US
Telephone Number	:	866-633-3548
Fax Number	:

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

Provider Enumeration Date	:	10/25/2023
Last Update Date	:	10/25/2023

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Directions to “ CATHERINE W MAINA ” Practice Location

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