Provider Demographics
NPI:1346664356
Name:MCPHEE, CATHERINE WILDE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:WILDE
Last Name:MCPHEE
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 1:701 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2606
Mailing Address - Country:US
Mailing Address - Phone:626-815-5011
Mailing Address - Fax:714-731-3500
Practice Address - Street 1:701 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2606
Practice Address - Country:US
Practice Address - Phone:626-815-5011
Practice Address - Fax:714-731-3500
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA286547283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital