Individual
MS. KATRIEN T WOHLSTATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2505 SAMARITAN DR, SAN JOSE, CA 95124-4006
(408) 559-2262
Mailing address
121 S NAVARRA DR, SCOTTS VALLEY, CA 95066-3618
(831) 818-9783
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
428932
CA
Other
Enumeration date
07/07/2005
Last updated
04/29/2011
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