Provider Demographics
NPI:1619565652
Name:CATALANO, ALICE (DNP, CNM, APRN)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:CATALANO
Suffix:
Gender:F
Credentials:DNP, CNM, APRN
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:
Other - Last Name:SCHREIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:710 N LEMON AVE UNIT 358
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4297
Mailing Address - Country:US
Mailing Address - Phone:954-200-9403
Mailing Address - Fax:
Practice Address - Street 1:2439 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6304
Practice Address - Country:US
Practice Address - Phone:941-343-0609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH24T0OtherBLUE CROSS BLUE SHIELD
FL113582600Medicaid