Provider Demographics
NPI:1790748655
Name:GUBERSKY, CATHY THERESE (RN,LICAC)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:THERESE
Last Name:GUBERSKY
Suffix:
Gender:F
Credentials:RN,LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 BANNER CIR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-6953
Mailing Address - Country:US
Mailing Address - Phone:303-513-0801
Mailing Address - Fax:
Practice Address - Street 1:1410 BANNER CIR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-6953
Practice Address - Country:US
Practice Address - Phone:303-513-0801
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO992171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist