Individual
CATHERINE M WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(025) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1027257
KY
363L00000X
Nurse Practitioner
Primary
3002280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00362335
RAILROAD MEDICARE
KY
Enumeration date
04/20/2006
Last updated
03/28/2019
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