Basic Information
| Provider Information | |||||||||
| NPI: | 1841692456 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CATACUTAN | ||||||||
| FirstName: | ORLANDA | ||||||||
| MiddleName: | MAGLASANG | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSN FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 568 NEW WELL AVE | ||||||||
| Address2: | |||||||||
| City: | LATHROP | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953308972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2099816304 | ||||||||
| FaxNumber: | 2099831205 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 W HOSPITAL RD | ||||||||
| Address2: | |||||||||
| City: | FRENCH CAMP | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952319693 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094686000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2014 | ||||||||
| LastUpdateDate: | 09/25/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 95001203 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.