Provider Demographics
NPI:1811315427
Name:WEATHERS, CATHERINE M (CNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:WEATHERS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:ST. CLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:8094 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3145
Mailing Address - Country:US
Mailing Address - Phone:513-232-7100
Mailing Address - Fax:513-232-6975
Practice Address - Street 1:8094 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3145
Practice Address - Country:US
Practice Address - Phone:513-232-7100
Practice Address - Fax:513-232-6975
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-15760363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPENDINGMedicaid
OHPENDINGMedicaid