Provider Demographics
NPI:1154463958
Name:CATENA, GINA MARIA (CNM, NP)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIA
Last Name:CATENA
Suffix:
Gender:F
Credentials:CNM, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 30TH ST STE 205
Mailing Address - Street 2:EAST BAY PERINATAL MEDICAL ASSOCIATION
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3425
Mailing Address - Country:US
Mailing Address - Phone:510-444-0790
Mailing Address - Fax:510-869-8433
Practice Address - Street 1:350 30TH ST STE 205
Practice Address - Street 2:EAST BAY PERINATAL MEDICAL ASSOCIATION
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3425
Practice Address - Country:US
Practice Address - Phone:510-444-0790
Practice Address - Fax:510-869-8433
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1339367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife