Provider Demographics
NPI:1760993893
Name:DIMOTSIS-SCHAEFER, CATHERINE
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:DIMOTSIS-SCHAEFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 N GRAVEL PIKE
Mailing Address - Street 2:
Mailing Address - City:ZIEGLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19492-9727
Mailing Address - Country:US
Mailing Address - Phone:610-287-1032
Mailing Address - Fax:
Practice Address - Street 1:1206 N GRAVEL PIKE
Practice Address - Street 2:
Practice Address - City:ZIEGLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19492-9727
Practice Address - Country:US
Practice Address - Phone:610-287-1032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily