Doctor Name: | KATHERINE ANN TATE |
NPI Number: | 1235421744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., C.N.S. |
License Number: | 257874 |
Business Practice Address: | 36 Miranda Ct Alamo, CA - 945071697 |
Business Phone Number: | 5107526136 |
Business Fax Number: | |
Mailing Address: | 36 Miranda Ct, ALAMO |
State: | CA |
Postal Code: | 945071697 |
Phone Number: | 5107526136 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2011 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 257874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |