Provider Demographics
NPI:1023044088
Name:TAMBRONI-PARKER, CATHERINE (CNM)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:TAMBRONI-PARKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:TAMBRONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:989 RIBAUT ROAD, SUITE 210
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5481
Mailing Address - Country:US
Mailing Address - Phone:843-522-7870
Mailing Address - Fax:843-522-7821
Practice Address - Street 1:50 HOSPITAL DR
Practice Address - Street 2:SUITE 4A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5248
Practice Address - Country:US
Practice Address - Phone:828-650-8077
Practice Address - Fax:828-651-0194
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000766367A00000X
NC530367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC184M1OtherBCBS OF NC
NCP01308048OtherMEDICARE RR
NY01870915Medicaid
NC184M1OtherBCBS OF NC
NYBB2383Medicare UPIN