Individual
KATHERINE L. BIALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
280 SIERRA COLLEGE DR STE 205, GRASS VALLEY, CA 95945-5763
(530) 477-7390
(530) 538-5640
Mailing address
2721 OLIVE HWY STE 8, OROVILLE, CA 95966-6115
(530) 532-8071
(530) 538-5640
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA52032
CA
363LP2300X
Primary Care Nurse Practitioner
PA52032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982964417
FAMILY MEDICINE
—
Enumeration date
05/17/2012
Last updated
09/03/2019
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