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Individual

MS. KATHERINE GRACE VAN ATTA

Active
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Individual

MS. KATHERINE GRACE VAN ATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, CNM

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
879
AK
367A00000X
Advanced Practice Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MDA0205
AK
Enumeration date
12/01/2006
Last updated
02/19/2024
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