Provider Demographics
NPI:1265672240
Name:VASKO, CATHERINE MANIAGO (RNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MANIAGO
Last Name:VASKO
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SAGEBRUSH
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4052
Mailing Address - Country:US
Mailing Address - Phone:714-835-1800
Mailing Address - Fax:714-835-1811
Practice Address - Street 1:1010 W LA VETA AVE
Practice Address - Street 2:200
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4304
Practice Address - Country:US
Practice Address - Phone:714-835-1800
Practice Address - Fax:714-835-1811
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA429536363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner