| Mrs Cathleen A Distor, CNM | |
|
548 South Marine Corps Drive, Tamuning, GU 96913 | |
| (671) 646-5824 | |
| (671) 647-3546 |
| Full Name | Mrs Cathleen A Distor |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 548 South Marine Corps Drive, Tamuning, Guam |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275646853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | NP0081 (Guam) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cathleen A Distor, CNM Po Box 6578, Tamuning, GU 96931-6578 Ph: (671) 646-5824 | Mrs Cathleen A Distor, CNM 548 South Marine Corps Drive, Tamuning, GU 96913 Ph: (671) 646-5824 |
Ms. Jeanelle Martinez, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 472 Chalan San Antonio, Pemar Place, Tamuning, GU 96913 Phone: 671-647-1830 Fax: 671-647-1919 | |
Mrs. Christina Joy Anciano, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 472 Chalan San Antonio, Tamuning, GU 96913 Phone: 671-300-6310 Fax: 671-647-1919 | |
Kathryn May Cooper, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 472 Chalan San Antonio, Tamuning, GU 96913 Phone: 671-300-6310 Fax: 671-647-1919 |