Provider Demographics
NPI:1043705361
Name:CATTOOR, GAIL (LPN)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:CATTOOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81626-0033
Mailing Address - Country:US
Mailing Address - Phone:970-326-3208
Mailing Address - Fax:
Practice Address - Street 1:1251 COUNTY RD 183
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625
Practice Address - Country:US
Practice Address - Phone:970-326-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2025-01-22
Deactivation Date:2019-06-05
Deactivation Code:
Reactivation Date:2025-01-17
Provider Licenses
StateLicense IDTaxonomies
NE24869164W00000X
COPN.0337908164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse