Provider Demographics
NPI:1659077733
Name:RATCHFORD, KATLYN MARY (RN)
Entity Type:Individual
Prefix:
First Name:KATLYN
Middle Name:MARY
Last Name:RATCHFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 ALBA CIR
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-7633
Mailing Address - Country:US
Mailing Address - Phone:814-414-1693
Mailing Address - Fax:
Practice Address - Street 1:903 ALBA CIR
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-7633
Practice Address - Country:US
Practice Address - Phone:814-414-1693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN63795163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine