Provider Demographics
NPI:1417912890
Name:SODEN, CATHY JO (RN, DNP, APN-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:JO
Last Name:SODEN
Suffix:
Gender:F
Credentials:RN, DNP, APN-C
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:JO
Other - Last Name:SCHROEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APN-C, RN
Mailing Address - Street 1:86 KRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08620
Mailing Address - Country:US
Mailing Address - Phone:609-585-8464
Mailing Address - Fax:
Practice Address - Street 1:7 SCHALKS CROSSING SUITE 324
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-2203
Practice Address - Country:US
Practice Address - Phone:609-445-4445
Practice Address - Fax:609-897-0213
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN10522400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP19758Medicare UPIN
NJ043965Medicare PIN