Doctor Name: | CATHERINE ESPITALLIER |
NPI Number: | 1003129032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN040164 |
Business Practice Address: | 1915 Hephzibah Mcbean Rd Hephzibah, GA - 308154311 |
Business Phone Number: | 7062949686 |
Business Fax Number: | |
Mailing Address: | 1915 Hephzibah Mcbean Rd, HEPHZIBAH |
State: | GA |
Postal Code: | 308154311 |
Phone Number: | 7062949686 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | RN040164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |