Provider Demographics
NPI:1982826533
Name:MICHALOWSKI, CATHLEEN (NP)
Entity Type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:
Last Name:MICHALOWSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29684 FRANKLIN ROOSEVELT LN
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-8235
Mailing Address - Country:US
Mailing Address - Phone:516-526-4587
Mailing Address - Fax:
Practice Address - Street 1:165 COMMERCE WAY STE 2
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-8224
Practice Address - Country:US
Practice Address - Phone:302-672-6435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH000207363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP03235Medicare UPIN
NY94N502Medicare PIN