Katherine Anne Repp
Nurse Practitioner - Primary Care
18181 Oakwood Blvd Ste 410
Dearborn
, Michigan 48124-4082
Katherine Anne Repp
Nurse Practitioner - Primary Care
18181 Oakwood Blvd Ste 410
Dearborn
, Michigan 48124-4082
(313) 436-2440
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Katherine Anne Repp
- 18181 Oakwood Blvd Ste 101
- Dearborn, MI
- Zip : 48124-4082
- Fax : (313) 436-2440
- Phone : (313) 436-2426
Second Address
- Katherine Anne Repp
- 18181 Oakwood Blvd Ste 410
- Dearborn, MI
- Zip : 48124-4082
- Phone : (313) 982-5430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704285347 | MI |
National Provider Identifier
| NPI | 1023465010 |
|---|---|
| Provider Name | Katherine Anne Repp |
| First Address | Dearborn, MI 48124-4082 |
| Second Address | Dearborn, MI 48124-4082 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2016 |
| Last Update Date | 05/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.