Provider Demographics
NPI:1164887378
Name:SEPULVEDA, KATARINA (DC, LCCE, DOULA)
Entity Type:Individual
Prefix:DR
First Name:KATARINA
Middle Name:
Last Name:SEPULVEDA
Suffix:
Gender:F
Credentials:DC, LCCE, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E BASIN AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-4612
Mailing Address - Country:US
Mailing Address - Phone:775-751-3316
Mailing Address - Fax:
Practice Address - Street 1:1601 E BASIN AVE STE 304
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4612
Practice Address - Country:US
Practice Address - Phone:775-751-3316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0008374J00000X
NVB01604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No374J00000XNursing Service Related ProvidersDoula