Provider Demographics
NPI:1114317559
Name:CATHIE, MARGARET
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:CATHIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 836
Mailing Address - Street 2:5050 MOODY RD
Mailing Address - City:SOMERSET
Mailing Address - State:CA
Mailing Address - Zip Code:95684-0836
Mailing Address - Country:US
Mailing Address - Phone:530-906-8524
Mailing Address - Fax:
Practice Address - Street 1:5050 MOODY RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:CA
Practice Address - Zip Code:95684-0836
Practice Address - Country:US
Practice Address - Phone:530-906-8524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455837163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse