Provider Demographics
NPI:1760939292
Name:PRICE, KATELYN (DNP-FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:DNP-FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CASCADE
Mailing Address - State:IA
Mailing Address - Zip Code:52033-9496
Mailing Address - Country:US
Mailing Address - Phone:319-321-8680
Mailing Address - Fax:
Practice Address - Street 1:1795 IA 64
Practice Address - Street 2:
Practice Address - City:ANAMOSA
Practice Address - State:IA
Practice Address - Zip Code:52205
Practice Address - Country:US
Practice Address - Phone:319-462-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA130243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily