Provider Demographics
NPI:1093568164
Name:BILLS, KATHERINE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:BILLS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 E THORNTON AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-6877
Mailing Address - Country:US
Mailing Address - Phone:818-383-1767
Mailing Address - Fax:
Practice Address - Street 1:601 N KEY BISCAYNE DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-8114
Practice Address - Country:US
Practice Address - Phone:480-497-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ293232163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool