Individual
KATHERINE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 N DUTTON AVE, #275, SANTA ROSA, CA 95401-4659
(707) 206-7268
(707) 206-7254
Mailing address
1260 N DUTTON AVE, #275, SANTA ROSA, CA 95401-4659
(707) 206-7268
(707) 206-7254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2014010936
CA
390200000X
Student in an Organized Health Care Education/Training Program
824671
CA
Other
Enumeration date
10/25/2013
Last updated
09/10/2015
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