Cordero, Catherine Maureen

Cordero, Catherine Maureen is an sole proprietor health care provider with primary practice located at 901 S Broadway , Santa Maria CA 93454-6603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cordero, Catherine Maureen can be contacted via phone (805) 614-9275.

Contact Information

Primary practice address
901 S Broadway Santa Maria CA 93454-6603
Fax: (805) 614-9285
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20939 California

Profile Details

NPI number 1972881886
LBN Legal business name Cordero, Catherine Maureen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2011
Last updated Apr 22nd, 2015 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972881886 NPPES
California MEDICAID FHC70984F

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