Provider Demographics
NPI:1306451752
Name:BREDEL, CATHERINE L (LPN)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:L
Last Name:BREDEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1853 BRETT ST APT 16
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4015
Mailing Address - Country:US
Mailing Address - Phone:412-657-8946
Mailing Address - Fax:
Practice Address - Street 1:1853 BRETT ST APT 16
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4015
Practice Address - Country:US
Practice Address - Phone:412-657-8946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN266499164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty