Individual
KATRINA HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Mailing address
5526 HOLLY HILLS AVE, SAINT LOUIS, MO 63109-3549
(636) 290-3960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041491679
IL
163W00000X
Registered Nurse
2017035363
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209027813
IL
Other
Enumeration date
09/05/2022
Last updated
07/11/2023
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