Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 8905 | NE |
NPI | 1013256569 |
---|---|
Provider Name | Catherine Elizabeth Fairgrieve Appel |
First Address | Port Orchard, WA 98366-8213 |
Second Address | Omaha, NE 68198-3025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2013 |
Last Update Date | 20/06/2020 |