Cathaleen Ann Connors, C.N.A
Individual provider Active NPI Contractor · Edgewater, FL
NPI 1831167600 · NPPES record last updated Mar 31, 2013
Key facts
- NPI
- 1831167600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- CNA 49161 (FL)
- Practice address
- 3131 Juniper Dr
Edgewater, FL 32141-6209 - Phone
- (386) 428-0677
- Fax
- (386) 428-0677
- NPI assigned
- Mar 9, 2006
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA 49161 | FL | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | CNA 49161 | FL | Yes |
Addresses
Primary practice location
3131 Juniper Dr
Edgewater, FL 32141-6209
Mailing address
3131 Juniper Dr
Edgewater, FL 32141-6209
Phone (386) 428-0677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6892329 79 | Medicaid | FL |
Other providers in Edgewater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2013. 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.