Provider Demographics
NPI:1235338096
Name:MCCURTAIN, LORETTA RAE (FNP)
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:RAE
Last Name:MCCURTAIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 CEDAR HILL LN
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-8917
Mailing Address - Country:US
Mailing Address - Phone:707-826-9425
Mailing Address - Fax:530-629-2866
Practice Address - Street 1:HIGHWAY 96
Practice Address - Street 2:
Practice Address - City:WILLOW CREEK
Practice Address - State:CA
Practice Address - Zip Code:95573
Practice Address - Country:US
Practice Address - Phone:530-629-3116
Practice Address - Fax:530-629-2866
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA NP8557363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily