Doctor Name: | KATHERINE M. TJADEN |
NPI Number: | 1013974575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 001576 |
Business Practice Address: | 1015 Duff Ave Mcfarland Clinic Pc Ames, IA - 500103014 |
Business Phone Number: | 5152394435 |
Business Fax Number: | 5152394758 |
Mailing Address: | Po Box 3014, 1215 Duff Ave Mcfarland Clinic Pc AMES |
State: | IA |
Postal Code: | 500103014 |
Phone Number: | 5152394501 |
Fax Number: | 5152394446 |
NPI Enumeration Date: | 04/28/2006 |
NPI Last Update Date: | 09/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001576 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |