| Doctor Name: | MRS. KATHERINE ELYSE CABRERA |
| NPI Number: | 1437457231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP, RN |
| License Number: | F336618 |
| Business Practice Address: | 150 New Providence Rd Mountainside, NJ - 070922590 |
| Business Phone Number: | 9083015471 |
| Business Fax Number: | |
| Mailing Address: | 150 New Providence Rd, MOUNTAINSIDE |
| State: | NJ |
| Postal Code: | 070922590 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2011 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F336618 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |