Individual
CATHERINE MARY NETTERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
1223 GATEWAY DR STE 2H, MELBOURNE, FL 32901-2607
(321) 574-9111
(321) 751-9362
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 574-9111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN2939332
FL
363LF0000X
Family Nurse Practitioner
ARNP2939332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LY083
MEDICARE
FL
Enumeration date
11/04/2006
Last updated
11/21/2023
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