Provider Demographics
NPI:1598476343
Name:BRETERNITZ, CATHY (CD(DONA), CLC, CPST)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:BRETERNITZ
Suffix:
Gender:F
Credentials:CD(DONA), CLC, CPST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 E DOPP RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-8215
Mailing Address - Country:US
Mailing Address - Phone:989-708-8547
Mailing Address - Fax:
Practice Address - Street 1:326 E DOPP RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-8215
Practice Address - Country:US
Practice Address - Phone:989-708-8547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula