Provider Demographics
NPI:1295575983
Name:FALKS, KATELYNN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KATELYNN
Middle Name:
Last Name:FALKS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 CHURCHILL CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-5420
Mailing Address - Country:US
Mailing Address - Phone:205-919-7776
Mailing Address - Fax:
Practice Address - Street 1:7 WINDSWEEP CT
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36870-2336
Practice Address - Country:US
Practice Address - Phone:334-297-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-190699363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner