Provider Demographics
NPI:1811733884
Name:MAGDALENO, CATHERINE CLAIRE (APRN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CLAIRE
Last Name:MAGDALENO
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16910 MARCY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2714
Mailing Address - Country:US
Mailing Address - Phone:402-697-7200
Mailing Address - Fax:
Practice Address - Street 1:16910 MARCY ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2714
Practice Address - Country:US
Practice Address - Phone:402-697-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115481363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health