Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 996 | AK |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 996 | AK |
NPI | 1982884755 |
---|---|
Provider Name | Kathryn E Mcnatt |
First Address | Soldotna, AK 99669-7648 |
Second Address | Soldotna, AK 99669-7648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2007 |
Last Update Date | 14/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RH177FQ | (05) | AK |