Provider Demographics
NPI:1720749591
Name:FORE, CATHERINE ANNETTE (MSN, CRNP, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ANNETTE
Last Name:FORE
Suffix:
Gender:F
Credentials:MSN, CRNP, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 BORTONS MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3307
Mailing Address - Country:US
Mailing Address - Phone:201-370-4701
Mailing Address - Fax:
Practice Address - Street 1:111 S 11TH STREET
Practice Address - Street 2:7 THOMPSON OB TRIAGE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-955-6298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024628363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health