Provider Demographics
NPI:1225577349
Name:GILES, KATIE (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LASHAE
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 ROWE DR STE A
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7366
Mailing Address - Country:US
Mailing Address - Phone:256-571-8470
Mailing Address - Fax:256-571-8474
Practice Address - Street 1:55 ROWE DR STE A
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976
Practice Address - Country:US
Practice Address - Phone:256-571-8470
Practice Address - Fax:256-571-8474
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL104406084363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health