Provider Demographics
NPI:1902976129
Name:RINNE, CATHERINE ANNETTE (FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNETTE
Last Name:RINNE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANNETTE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:298 CIRCLE CT
Mailing Address - Street 2:
Mailing Address - City:ELDON
Mailing Address - State:MO
Mailing Address - Zip Code:65026-5355
Mailing Address - Country:US
Mailing Address - Phone:573-375-6716
Mailing Address - Fax:
Practice Address - Street 1:6111 OAK TREE BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-3713
Practice Address - Country:US
Practice Address - Phone:216-393-8595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60657287363LF0000X
MO128837363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily