Provider Demographics
NPI:1568267748
Name:SORRENTINO, CATHERINE JEAN
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JEAN
Last Name:SORRENTINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 S 225TH PLZ
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-4581
Mailing Address - Country:US
Mailing Address - Phone:402-559-5968
Mailing Address - Fax:
Practice Address - Street 1:5040 S 225TH PLZ
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4581
Practice Address - Country:US
Practice Address - Phone:402-559-5968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant