Provider Demographics
NPI:1770689630
Name:CATHEY, RENE HOOD (FNP)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:HOOD
Last Name:CATHEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RENE'
Other - Middle Name:HOOD
Other - Last Name:BUSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3003 SHORTCUT RD
Mailing Address - Street 2:
Mailing Address - City:PASCAGOULA
Mailing Address - State:MS
Mailing Address - Zip Code:39567-1810
Mailing Address - Country:US
Mailing Address - Phone:601-847-3306
Mailing Address - Fax:601-782-9920
Practice Address - Street 1:180 DEBUYS RD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-4402
Practice Address - Country:US
Practice Address - Phone:228-273-4096
Practice Address - Fax:228-594-1765
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR855920363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSR855920OtherSTATE LICENSE
MS500002318OtherMEDICARE
MS09014428Medicaid
MS04033292Medicaid
MS04033292Medicaid