Basic Information
Provider Information
NPI: 1043576689
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DABROWSKI
FirstName: CATHERINE
MiddleName: ADELINE RAY
NamePrefix: MISS
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: RAY
OtherFirstName: CATHERINE
OtherMiddleName: ADELINE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 110 29TH AVE N
Address2: SUITE 202
City: NASHVILLE
State: TN
PostalCode: 372031401
CountryCode: US
TelephoneNumber: 6153274304
FaxNumber:  
Practice Location
Address1: 110 29TH AVE N
Address2: SUITE 202
City: NASHVILLE
State: TN
PostalCode: 372031401
CountryCode: US
TelephoneNumber: 6153274304
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/09/2012
LastUpdateDate: 10/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X54173TNY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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