Basic Information
Provider Information
NPI: 1427666494
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ORELLANA
FirstName: CATALINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 770 NORTHPOINT PKWY STE 102
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334071901
CountryCode: US
TelephoneNumber: 5618025357
FaxNumber:  
Practice Location
Address1: 901 45TH ST
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334073340
CountryCode: US
TelephoneNumber: 5618812731
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/16/2020
LastUpdateDate: 11/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN9357009FLN Nursing Service ProvidersRegistered Nurse 
363LF0000XAPRN11007516FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home