Individual
MRS. KATHARINE MARY STANIFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
KATHARINE STANIFORTH
Contact information
Practice address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522
Mailing address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H119429
IA
363LA2200X
Adult Health Nurse Practitioner
H-119429
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119429
STATE LICENSE
IA
Enumeration date
10/19/2011
Last updated
03/28/2025
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