Provider Demographics
NPI:1437168895
Name:HOOVER, CATHERINE J (RNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:J
Last Name:HOOVER
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 MESQUITE AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403
Mailing Address - Country:US
Mailing Address - Phone:928-854-6249
Mailing Address - Fax:928-854-6301
Practice Address - Street 1:2130 MESQUITE AVE
Practice Address - Street 2:STE 106
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403
Practice Address - Country:US
Practice Address - Phone:928-854-6249
Practice Address - Fax:928-854-6301
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN059978363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ417130Medicaid
75762Medicare ID - Type Unspecified
AZ417130Medicaid