Individual
CATHERINE JOAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3991 DUTCHMANS LN, STE. 205, LOUISVILLE, KY 40207-4700
(502) 899-6170
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
084616
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
3007265
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425343605
—
MO
01
—
K032290
MEDICARE PTAN- NMA PRP
KY
Enumeration date
08/16/2006
Last updated
07/25/2016
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