Provider Demographics
NPI:1407134091
Name:CATLIN, TERESA LOUISE (ARNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:LOUISE
Last Name:CATLIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 211
Mailing Address - Street 2:
Mailing Address - City:NAKNEK
Mailing Address - State:AK
Mailing Address - Zip Code:99633
Mailing Address - Country:US
Mailing Address - Phone:907-246-6155
Mailing Address - Fax:907-246-6158
Practice Address - Street 1:2 SCHOOL ROAD
Practice Address - Street 2:CAMAI COMMUNITY HEALTH CENTER, INC
Practice Address - City:NAKNEK
Practice Address - State:AK
Practice Address - Zip Code:99633
Practice Address - Country:US
Practice Address - Phone:907-246-6155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-1079A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID153844727OtherNPI
ID1811054877OtherNPI
ID1306883244OtherNPI
ID1306883244OtherNPI