Provider Demographics
NPI:1629578943
Name:STADLER, KATHERINE DANIELLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:DANIELLE
Last Name:STADLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:EGNOSKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:634 SW MULVANE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606
Mailing Address - Country:US
Mailing Address - Phone:785-272-2240
Mailing Address - Fax:785-272-2250
Practice Address - Street 1:634 SW MULVANE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606
Practice Address - Country:US
Practice Address - Phone:785-272-2240
Practice Address - Fax:785-272-2250
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78007363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology