Doctor Name: | MS. KATHERINE MARGARET CALLIES |
NPI Number: | 1063424257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | 4704147228 |
Business Practice Address: | 3123 Shore Dr Suite 201 Marinette, WI - 541434287 |
Business Phone Number: | 7157322075 |
Business Fax Number: | 7157322092 |
Mailing Address: | 3120 Riverside Ave, Gate B Building 1 MARINETTE |
State: | WI |
Postal Code: | 541431123 |
Phone Number: | 7157322075 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 4704147228 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |