Provider Demographics
NPI:1801374384
Name:ERLANDSON, KATHERINE M (NP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:ERLANDSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:M
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1751 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-5246
Mailing Address - Country:US
Mailing Address - Phone:712-328-8800
Mailing Address - Fax:712-328-8461
Practice Address - Street 1:1288 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-5245
Practice Address - Country:US
Practice Address - Phone:712-328-8800
Practice Address - Fax:712-328-8461
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA136232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily