Provider Demographics
NPI:1912126681
Name:DRUSEN, CATHERINE ANN
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:DRUSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 W BULLARD AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-1712
Mailing Address - Country:US
Mailing Address - Phone:559-437-1500
Mailing Address - Fax:559-437-1555
Practice Address - Street 1:285 W BULLARD AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1712
Practice Address - Country:US
Practice Address - Phone:559-437-1500
Practice Address - Fax:559-437-1555
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA307235163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse