Provider Demographics
NPI:1689366817
Name:NOWLIN, KATIE (PA-C)
Entity Type:Individual
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First Name:KATIE
Middle Name:
Last Name:NOWLIN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11321 S ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7613
Mailing Address - Country:US
Mailing Address - Phone:918-606-3453
Mailing Address - Fax:
Practice Address - Street 1:211 S 36TH ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-5044
Practice Address - Country:US
Practice Address - Phone:918-682-4580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-12-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant