Provider Demographics
NPI:1861120107
Name:CATHERINE PERMIN DNP-APRN LLC
Entity type:Organization
Organization Name:CATHERINE PERMIN DNP-APRN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERMIN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-321-3671
Mailing Address - Street 1:444 QUAIL RUN RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1511
Mailing Address - Country:US
Mailing Address - Phone:859-321-3671
Mailing Address - Fax:907-600-0212
Practice Address - Street 1:2387 PROFESSIONAL HEIGHTS DR STE 60
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3004
Practice Address - Country:US
Practice Address - Phone:859-368-3552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-14
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1265579700OtherNPI