Individual
CATHERINE MAUREEN CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
901 S BROADWAY, SANTA MARIA, CA 93454-6603
(805) 614-9275
(805) 614-9285
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70984F
—
CA
Enumeration date
07/26/2011
Last updated
04/22/2015
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