Provider Demographics
NPI:1558444984
Name:DUCHOVIC, CATHERINE A (RN MSN CNS-BC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:DUCHOVIC
Suffix:
Gender:F
Credentials:RN MSN CNS-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:909 E STATE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-3404
Mailing Address - Country:US
Mailing Address - Phone:260-481-2700
Mailing Address - Fax:260-481-2731
Practice Address - Street 1:909 E STATE BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-3404
Practice Address - Country:US
Practice Address - Phone:260-481-2700
Practice Address - Fax:260-481-2731
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28084129A RN364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist