Pamela Marie Catalano, ARNP

Individual provider Active NPI Pediatric Nurse Practitioner · Ada, OK

NPI 1295942936 · NPPES record last updated Sep 14, 2016

Key facts

NPI
1295942936
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
R OO37844 (OK)
Practice address
1921 Stonecipher Blvd
Ada, OK 74820
Phone
(580) 421-4570
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R OO37844OKMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R OO37844 OK Yes

Addresses

Primary practice location

1921 Stonecipher Blvd
Ada, OK 74820

Mailing address

1921 Stonecipher Blvd
Ada, OK 74820
Phone (580) 421-4570

Other providers in Ada, OK

All providers in Ada, OK · Pediatric Nurse Practitioner in Oklahoma

Sources for this page

Verify at the official NPI Registry.