Provider Demographics
NPI:1396522777
Name:JAMES, CATHERINE SAMARRIPA
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SAMARRIPA
Last Name:JAMES
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 1:7793 VERDE RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-6670
Mailing Address - Country:US
Mailing Address - Phone:775-560-6517
Mailing Address - Fax:
Practice Address - Street 1:7793 VERDE RIVER WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-6670
Practice Address - Country:US
Practice Address - Phone:775-560-6517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant