Individual
KATHERINE RYAN GOETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
340 EUREKA SQ, PACIFICA, CA 94044-2652
(650) 453-3467
Mailing address
340 EUREKA SQ, PACIFICA, CA 94044-2652
(650) 453-3467
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22591
NP NUMBER
CA
01
—
645705
RN
CA
Enumeration date
07/24/2014
Last updated
07/24/2014
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