Provider Demographics
NPI:1811958853
Name:LURIA, CATHERINE CANTWELL (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:CANTWELL
Last Name:LURIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 HUNT ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7313
Mailing Address - Country:US
Mailing Address - Phone:253-851-6181
Mailing Address - Fax:253-851-6191
Practice Address - Street 1:4402 HUNT ST NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7313
Practice Address - Country:US
Practice Address - Phone:253-851-6181
Practice Address - Fax:253-851-6191
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000001363LF0000X
WARN00058067363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9606278Medicaid
WAAP30000001OtherARNP LICENSE
WARN00058067OtherRN LICENSE
WARN00058067OtherRN LICENSE
WA8856551Medicare ID - Type Unspecified
WA9606278Medicaid