Provider Demographics
NPI:1710792650
Name:MCCLANATHAN, CATHLEEN (ARNP)
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:MCCLANATHAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1350 NW 138TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8300
Mailing Address - Country:US
Mailing Address - Phone:515-758-8300
Mailing Address - Fax:515-758-8600
Practice Address - Street 1:1350 NW 138TH ST STE 200
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8300
Practice Address - Country:US
Practice Address - Phone:515-758-8300
Practice Address - Fax:515-758-8600
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG183254363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health