Provider Demographics
NPI:1366503922
Name:PRICE, CATHARINE (CRNP)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CATHARINE
Other - Middle Name:
Other - Last Name:DOROZINSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:7133 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1431
Mailing Address - Country:US
Mailing Address - Phone:215-333-5604
Mailing Address - Fax:
Practice Address - Street 1:7133 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1431
Practice Address - Country:US
Practice Address - Phone:215-333-5604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005938P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health