Provider Demographics
NPI:1326100470
Name:FORZATO, CATHERINE LYNN
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LYNN
Last Name:FORZATO
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:PSC 2
Mailing Address - Street 2:BOX 9525
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09012
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:LANDSTUHL
Practice Address - State:GERMANY
Practice Address - Zip Code:09012
Practice Address - Country:DE
Practice Address - Phone:01149637-186-8160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR143256163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency