Individual
KATHERINE M FANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 MONTGOMERY ST, WINNESHIEK MEDICAL CENTER, DECORAH, IA 52101-2325
(515) 221-9222
Mailing address
1403 ONEOTA DR, DECORAH, IA 52101-9356
(515) 577-8139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
D-093740
IA
367500000X
Certified Registered Nurse Anesthetist
D093740
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439414
—
IA
01
—
50171
WELLMARK GROUP #
IA
Enumeration date
08/17/2005
Last updated
10/27/2025
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