Provider Demographics
NPI:1366761611
Name:LORING, CATHERINE MARIE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MARIE
Last Name:LORING
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:882 HARTGLEN AVE
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2025
Mailing Address - Country:US
Mailing Address - Phone:805-370-8090
Mailing Address - Fax:805-370-8090
Practice Address - Street 1:7218 VAN NUYS BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-6804
Practice Address - Country:US
Practice Address - Phone:818-997-7575
Practice Address - Fax:818-997-7577
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA19669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily