Provider Demographics
NPI:1568583128
Name:MOGENSEN, KATHERINE QUINN (ARNP/FAMILY NURSE PR)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:QUINN
Last Name:MOGENSEN
Suffix:
Gender:F
Credentials:ARNP/FAMILY NURSE PR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9425 N. NEVADA ST STE 350
Mailing Address - Street 2:WOMENS HEALTH CONNECTION
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218
Mailing Address - Country:US
Mailing Address - Phone:509-465-8885
Mailing Address - Fax:509-789-9013
Practice Address - Street 1:9425 N. NEVADA ST STE 350
Practice Address - Street 2:WOMENS HEALTH CONNECTION
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218
Practice Address - Country:US
Practice Address - Phone:509-465-8885
Practice Address - Fax:509-789-9013
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007966363LP2300X
CARN549095NP17988363LP2300X
WARN60266552163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse