Individual
KATRINA LORRAYNE RATHJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
821 N NELLIS BLVD STE 100, LAS VEGAS, NV 89110-5387
(702) 438-4003
(702) 438-0555
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10064713
TX
207R00000X
Internal Medicine Physician
Primary
DO3240
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316434293
—
NV
01
—
DO3240
STATE LICENSE
NV
Enumeration date
04/17/2018
Last updated
08/30/2022
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