Provider Demographics
NPI:1376957415
Name:KAHRIG, CATHARINE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CATHARINE
Middle Name:
Last Name:KAHRIG
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CATHARINE
Other - Middle Name:
Other - Last Name:VON ALMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:390 MAPLE SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:JERSEYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62052-2000
Mailing Address - Country:US
Mailing Address - Phone:618-498-7518
Mailing Address - Fax:618-498-3052
Practice Address - Street 1:1057 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065
Practice Address - Country:US
Practice Address - Phone:573-302-3200
Practice Address - Fax:573-302-3210
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009019981363L00000X
IL209011389363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2009019981OtherMO LICENSE
IL209011389OtherIL LICENSE