MS. CATHY ANN FANTULIN (NPI# 1902036841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902036841 |
| Entity Type | Individual |
| Full Name | MS. CATHY ANN FANTULIN |
| Other Name | MS. CATHY ANN ZUBER |
| Credential | REGISTERED NURSE |
| Practice Address |
790 S Franklin St Fort Bragg CA 95437-5456 |
| Practice Telephone | 7079612712 |
| Mailing Telephone | 7079612712 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
513279 | CA | Nursing Service Providers |
| Street Address |
790 S FRANKLIN ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
| 1508214057 | Ilona Marcello | Counselor | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2016-05-25 |
| 1831478148 | County of Mendocino | Clinic/Center | 790 S Franklin St, Suite #b, Fort Bragg, CA 95437-5456 | 2011-08-04 |
| 1598890717 | Aaron Goertzen | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-02-21 |
| 1861538548 | Julie Elkins | Licensed Psychiatric Technician | 790 S Franklin St, B, Fort Bragg, CA 95437-5456 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558850651 | John Ryan Mcinerney | Registered Nurse | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310 | 2018-05-03 |
| 1356729453 | Adam D. Keller | Registered Nurse | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2015-05-11 |
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| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on MS. CATHY ANN FANTULIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.