Provider Demographics
NPI:1114467032
Name:DESIMONE, CATHERINE P
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:P
Last Name:DESIMONE
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 1:5610 OLD HICKORY BLVD APT G46
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2557
Mailing Address - Country:US
Mailing Address - Phone:615-810-6196
Mailing Address - Fax:
Practice Address - Street 1:5610 OLD HICKORY BLVD APT G46
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2557
Practice Address - Country:US
Practice Address - Phone:615-810-6196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula