Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 16316 | AL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD0000041656 | TN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD13064 | RI |
NPI | 1013930486 |
---|---|
Provider Name | Dr. Katharine D Wenstrom |
First Address | Providence, RI 02905-2401 |
Second Address | Providence, RI 02905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 10/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000084540 | (05) | AL |
000084540 | BLUE CROSS (01) | AL |
000093717 | BLUE CROSS (01) | AL |
009934822 | (05) | AL |
009936035 | (05) | AL |
009951535 | (05) | AL |
009951545 | (05) | AL |
009951555 | (05) | AL |
009951565 | (05) | AL |
009951575 | (05) | AL |
009951585 | (05) | AL |
009951595 | (05) | AL |
009970035 | (05) | AL |
009971115 | (05) | AL |
009971425 | (05) | AL |
051518084 | BLUE CROSS (01) | AL |
051521051 | BLUE CROSS (01) | AL |
051524558 | BLUE CROSS (01) | AL |
051524560 | BLUE CROSS (01) | AL |
051526560 | BLUE CROSS (01) | AL |