Provider Demographics
NPI:1831670835
Name:CABLE, CATHERINE ROE STRAUT (MSN, BSN, RN, C-PNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ROE STRAUT
Last Name:CABLE
Suffix:
Gender:F
Credentials:MSN, BSN, RN, C-PNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:STRAUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2255 BUSH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-6104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:750 WELCH RD STE 212
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1509
Practice Address - Country:US
Practice Address - Phone:650-725-8995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95009731363LP0200X
CA95009731363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics