Individual
KATHRYN ANN KATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1200 6TH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2146
Mailing address
1200 6TH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R27757
ND
363LC0200X
Critical Care Medicine Nurse Practitioner
R1129197
MN
363LF0000X
Family Nurse Practitioner
Primary
0785
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250428600
—
MN
Enumeration date
07/24/2006
Last updated
03/27/2023
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