Provider Demographics
NPI:1669022299
Name:BITTNER, KATELYN MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:MARIE
Last Name:BITTNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 LAMBROS LN
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-2700
Mailing Address - Country:US
Mailing Address - Phone:866-463-0912
Mailing Address - Fax:440-964-8067
Practice Address - Street 1:2044 LAMBROS LN
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-2700
Practice Address - Country:US
Practice Address - Phone:866-463-0912
Practice Address - Fax:440-964-8067
Is Sole Proprietor?:No
Enumeration Date:2019-09-16
Last Update Date:2024-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025595363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner