Provider Demographics
NPI:1982928859
Name:TROUTMAN, KATHERINE COLBY (NP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:COLBY
Last Name:TROUTMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:COLBY
Other - Last Name:MONAHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1756 CARVER ST
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-2820
Mailing Address - Country:US
Mailing Address - Phone:310-395-6756
Mailing Address - Fax:
Practice Address - Street 1:1000 N SEPULVEDA BLVD STE 250
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5975
Practice Address - Country:US
Practice Address - Phone:310-844-0828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily