Cathleen Perry, BSN
Individual provider Active NPI Registered Nurse · Ogden, UT
NPI 1497319875 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1497319875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 290532-3102 (UT)
- Practice address
- 1708 E 5550 S Ste 23
Ogden, UT 84403-7038 - Phone
- (801) 475-4673
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290532-3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Recovery Group, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 290532-3102 | UT | Yes |
Addresses
Primary practice location
1708 E 5550 S Ste 23
Ogden, UT 84403-7038
Mailing address
1708 E 5550 S Ste 23
Ogden, UT 84403-7038
Phone (801) 475-4673
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.