Provider Demographics
NPI:1366426025
Name:DENNY, CATHLEEN (FNP, MSN)
Entity type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:
Last Name:DENNY
Suffix:
Gender:F
Credentials:FNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 E ARABIAN CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-2910
Mailing Address - Country:US
Mailing Address - Phone:480-545-0434
Mailing Address - Fax:866-450-0747
Practice Address - Street 1:1676 E MCMURRAY BLVD
Practice Address - Street 2:CASA GRANDE REGIONAL MEDICAL CENTER URGENT CARE
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122
Practice Address - Country:US
Practice Address - Phone:520-316-0622
Practice Address - Fax:520-316-0701
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN068648363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ753782Medicaid
AZ753782Medicaid
AZP82846Medicare UPIN
AZ8EZ19RMedicare ID - Type Unspecified