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Individual

MS. CATHERINE R. ROUNTREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
OFF HWY 191 HOPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN054773
AZ
363L00000X
Nurse Practitioner
Primary
R40380
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
746654
AZ
Enumeration date
03/19/2007
Last updated
12/22/2009
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