Provider Demographics
NPI:1336330950
Name:MAERE, KATRINA ROSEMARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:ROSEMARIE
Last Name:MAERE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KATRINA
Other - Middle Name:ROSEMARIE
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3812 26TH AVE
Mailing Address - Street 2:4
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-4984
Mailing Address - Country:US
Mailing Address - Phone:309-517-4464
Mailing Address - Fax:
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101663163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse