Basic Information
Provider Information
NPI: 1215120530
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATO
FirstName: ERIN
MiddleName: ALYSSA
NamePrefix: MRS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 26666
Address2: PRESBYTERIAN HEALTHCARE SERVICES
City: ALBUQUERQUE
State: NM
PostalCode: 871256666
CountryCode: US
TelephoneNumber: 5059236770
FaxNumber:  
Practice Location
Address1: 2400 UNSER SE, SUITE 18200
Address2: PMG OBGYN AT 2400 UNSER
City: RIO RANCHO
State: NM
PostalCode: 87124
CountryCode: US
TelephoneNumber: 5052536200
FaxNumber: 5052536201
Other Information
ProviderEnumerationDate: 08/20/2007
LastUpdateDate: 08/19/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XA934SCN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AM0700XPA2012-0060NMY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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