Provider Demographics
NPI:1457617490
Name:SPIELBERGER, CATHERINE SCOTT (NP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:SCOTT
Last Name:SPIELBERGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:SCOTT
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 MADESTONE LANE
Mailing Address - Street 2:PO BOX 2263
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046
Mailing Address - Country:US
Mailing Address - Phone:856-495-3598
Mailing Address - Fax:
Practice Address - Street 1:30 MADESTONE LANE
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046
Practice Address - Country:US
Practice Address - Phone:856-495-3598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00171300363LF0000X
PASP009896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily