Provider Demographics
NPI:1861660490
Name:INGWERSEN, CATEE
Entity Type:Individual
Prefix:MRS
First Name:CATEE
Middle Name:
Last Name:INGWERSEN
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 1:1360 US HIGHWAY 1
Mailing Address - Street 2:SUITE 5
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5703
Mailing Address - Country:US
Mailing Address - Phone:772-559-1532
Mailing Address - Fax:
Practice Address - Street 1:1360 US HIGHWAY 1
Practice Address - Street 2:SUITE 5
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5703
Practice Address - Country:US
Practice Address - Phone:772-559-1532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-17
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA32687174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist