Provider Demographics
NPI:1457180259
Name:HIRN, KATHERINE EILEEN
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:EILEEN
Last Name:HIRN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 ALWARD RD
Mailing Address - Street 2:
Mailing Address - City:LAINGSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48848-9420
Mailing Address - Country:US
Mailing Address - Phone:517-243-7761
Mailing Address - Fax:
Practice Address - Street 1:2615 ALWARD RD
Practice Address - Street 2:
Practice Address - City:LAINGSBURG
Practice Address - State:MI
Practice Address - Zip Code:48848-9420
Practice Address - Country:US
Practice Address - Phone:517-243-7761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula