Provider Demographics
NPI:1831208602
Name:LAUNER, KATHERINE LEE (ARNP)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:LEE
Last Name:LAUNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:SMITH
Other - Last Name:LAUNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:11350 61ST ST N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1818
Mailing Address - Country:US
Mailing Address - Phone:561-855-7454
Mailing Address - Fax:561-855-7454
Practice Address - Street 1:11350 61ST ST N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-1818
Practice Address - Country:US
Practice Address - Phone:561-855-7454
Practice Address - Fax:954-384-0987
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1640542363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7406OtherGROUP NUMBER
FL003945400Medicaid
FLK7406OtherGROUP NUMBER