Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00068200 | NJ |
NPI | 1003891268 |
---|---|
Provider Name | Ms. Karen Ann Kattwinkel |
First Address | Clifton, NJ 07011-3527 |
Second Address | Clifton, NJ 07011-3527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0073342 | (05) | NJ |