Doctor Name: | CATHERINE M. ETORI |
NPI Number: | 1255722633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP |
License Number: | AP7927 |
Business Practice Address: | 701 Cashua Ferry Rd Darlington, SC - 295328488 |
Business Phone Number: | 8437774200 |
Business Fax Number: | 8437774296 |
Mailing Address: | Po Box 188, MARANA |
State: | AZ |
Postal Code: | 856530188 |
Phone Number: | 5206824111 |
Fax Number: | 5208183630 |
NPI Enumeration Date: | 02/06/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | AP7927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |