Provider Demographics
NPI:1952356016
Name:WALTERS, CATHERINE ELAINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ELAINE
Last Name:WALTERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:ELAINE
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4857 ROCKLAND WAY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628
Mailing Address - Country:US
Mailing Address - Phone:916-961-6559
Mailing Address - Fax:
Practice Address - Street 1:7001 A EAST PARKWAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-875-5701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN227470163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health