Individual
MS. CATRINA YVETTE PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-5287
Mailing address
440 W SOLANA AVE, AJO, AZ 85321-2240
(601) 812-7205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R880823
MS
363LF0000X
Family Nurse Practitioner
Primary
AP4178
AZ
Other
Enumeration date
07/22/2011
Last updated
10/04/2011
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