Provider Demographics
NPI:1790592277
Name:RASMUSSEN, KATY M (BSN, RN, SANE-A)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:M
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:BSN, RN, SANE-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NEWTON RD
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY, IA
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:319-335-6314
Mailing Address - Fax:
Practice Address - Street 1:50 NEWTON RD
Practice Address - Street 2:
Practice Address - City:IOWA CITY, IA
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-6314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA119993163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse