Provider Demographics
NPI:1033188099
Name:PATTY-RESK, CATHY (CPNP)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:PATTY-RESK
Suffix:
Gender:F
Credentials:CPNP
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Other - Credentials:
Mailing Address - Street 1:4201 SAINT ANTOINE ST
Mailing Address - Street 2:UHC 5D MAILBOX 226 UNIVERSITY PEDIATRICIANS
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2153
Mailing Address - Country:US
Mailing Address - Phone:313-745-4405
Mailing Address - Fax:313-966-0665
Practice Address - Street 1:CHILDREN'S HOSPITAL OF MI
Practice Address - Street 2:3950 BEAUBIEN
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-832-8550
Practice Address - Fax:313-993-8685
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2017-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704169292363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics