Provider Demographics
NPI:1891823290
Name:INGALLINERA, KATHERINE LANDRY (APRN-C)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:LANDRY
Last Name:INGALLINERA
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:108 KIKSADI CT
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9787
Mailing Address - Country:US
Mailing Address - Phone:907-966-8764
Mailing Address - Fax:907-966-8708
Practice Address - Street 1:SEARHC MT. EDGECUMBE HOSPITAL
Practice Address - Street 2:222 TONGASS DR
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835
Practice Address - Country:US
Practice Address - Phone:907-966-8764
Practice Address - Fax:907-966-8708
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK17639163W00000X
AK447363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNPO447Medicaid
8EC484Medicare PIN
P51424Medicare UPIN
AKNPO447Medicaid
AK8EZ37CMedicare UPIN
8EC486Medicare PIN
8EC485Medicare PIN