Provider Demographics
NPI:1467601393
Name:DUBOIS, CATHERINE MAXINE (APRN)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MAXINE
Last Name:DUBOIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3401 PGA BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2824
Mailing Address - Country:US
Mailing Address - Phone:561-776-8890
Mailing Address - Fax:561-766-2159
Practice Address - Street 1:3401 PGA BLVD STE 310
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2824
Practice Address - Country:US
Practice Address - Phone:561-776-8890
Practice Address - Fax:561-766-2159
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9166522363LF0000X
FLARNP-BC9166522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily