Katrina R Bader in Tucker - Nurse Practitioner

Katrina R Bader - NPI 1023110053

Katrina R Bader is a Nurse Practitioner in Tucker, Georgia. Katrina R Bader practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Katrina R Bader is 1023110053. The last update date is 2007-07-12.

Katrina R Bader's current location address is 200 Cres Ctr Pkwy, Tucker, Georgia. You can contact this provider via phone number 7704963770. The mailing address for Katrina R Bader is 200 Cres Ctr Pkwy, Tucker, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Katrina R Bader
Address 200 Cres Ctr Pkwy, Tucker, Georgia
Phone Number 7704963770
Fax Number
Sole Proprietor N
Credentials CNP

NPI Number Detail

NPI Number 1023110053
Provider Enumeration Date 2006-09-01
Last Updated Date 2007-07-12

Provider Mailing Address Detail

Address 200 Cres Ctr Pkwy
City Tucker
State Georgia (GA)
Post Code 300847047
Phone Number 7704963770
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No RN050415
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Katrina R Bader

What is the unique provider identifier assigned to Katrina R Bader?

The Katrina R Bader has been issued the NPI (National Provider Identifier) 1023110053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Katrina R Bader's facilities are geographically located?

The facilities of Katrina R Bader are physically situated at the following location: 200 Cres Ctr Pkwy, Tucker, GA, 300847047.

What is Katrina R Bader's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Katrina R Bader is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1023110053 to Katrina R Bader?

The Centers for Medicare & Medicaid Services assigned the 1023110053 to Katrina R Bader on 2006-09-01.

As of what date were the details pertaining to Katrina R Bader last refreshed?

The information related to the Katrina R Bader, including its address, specialty, and other relevant details, was last updated on 2007-07-12.

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