Provider Demographics
NPI:1083714943
Name:PERRY, CATHY J (BSN, RN, BC)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:J
Last Name:PERRY
Suffix:
Gender:F
Credentials:BSN, RN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 RIDGE CREST CIR
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3815
Mailing Address - Country:US
Mailing Address - Phone:419-236-8004
Mailing Address - Fax:
Practice Address - Street 1:1303 BELLEFONTAINE AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3109
Practice Address - Country:US
Practice Address - Phone:419-222-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH144579163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse