Doctor Name: | MRS. KATRINA DAWN WESTON |
NPI Number: | 1578937009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R0096366 |
Business Practice Address: | 21137 Se 37th Street Harrah, OK - 73045 |
Business Phone Number: | 4055195372 |
Business Fax Number: | |
Mailing Address: | 21137 Se 37th Street, HARRAH |
State: | OK |
Postal Code: | 73045 |
Phone Number: | 4055195372 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2015 |
NPI Last Update Date: | 11/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R0096366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |