Katy L Charboneau in Rochester - Nurse Practitioner
Katy L Charboneau - NPI 1063594398
Katy L Charboneau is a Nurse Practitioner in Rochester, Minnesota. Katy L Charboneau practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Katy L Charboneau is 1063594398. The last update date is 2009-09-11.
Katy L Charboneau's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Katy L Charboneau is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katy L Charboneau |
|---|---|
| Address | 200 1st St Sw, Rochester, Minnesota |
| Phone Number | 5072842511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1063594398 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2009-09-11 |
Provider Mailing Address Detail
| Address | 200 1st St Sw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559050001 |
| Phone Number | 5072842511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R 156566-7 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 133428000 | MN | -- | |
| P00733624 | MN | MEDICARE RAILROAD |
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What is the Katy L Charboneau's unique identification number?
The Katy L Charboneau has been assigned the NPI (National Provider Identifier) Number 1063594398 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Katy L Charboneau's physical address?
The Katy L Charboneau is physically located at 200 1St St Sw, in the city of Rochester, MN, with the postal code 559050001.
What is the area of specialization for Katy L Charboneau, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Katy L Charboneau is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did Katy L Charboneau receive its 1063594398 assignment from the Centers for Medicare & Medicaid Services?
The Katy L Charboneau was assigned its 1063594398 on 2006-10-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Katy L Charboneau's details last updated?
The information pertaining to the Katy L Charboneau, including its address, specialty, and other details, was most recently updated on 2009-09-11.
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