Provider Demographics
NPI:1619234259
Name:GRETZINGER, CATHERINE J (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:J
Last Name:GRETZINGER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NELSON PKWY
Mailing Address - Street 2:
Mailing Address - City:RUSH
Mailing Address - State:NY
Mailing Address - Zip Code:14543-9706
Mailing Address - Country:US
Mailing Address - Phone:585-533-2462
Mailing Address - Fax:
Practice Address - Street 1:3 NELSON PKWY
Practice Address - Street 2:
Practice Address - City:RUSH
Practice Address - State:NY
Practice Address - Zip Code:14543-9706
Practice Address - Country:US
Practice Address - Phone:585-533-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY373220-1163WC0400X, 163WC1500X, 163WG0000X, 163WH0200X, 163WH1000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WS0200XNursing Service ProvidersRegistered NurseSchool