Katelyn Allison
Individual provider Active NPI General Practice Registered Nurse · Apple Valley, CA
NPI 1215413307 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1215413307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 95133726 (CA)
- Practice address
- 17800 US Highway 18
Apple Valley, CA 92307-1221 - Phone
- (760) 946-8200
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95133726 | CA | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 95133726 | CA | Yes |
Addresses
Primary practice location
17800 US Highway 18
Apple Valley, CA 92307-1221
Mailing address
17800 US Highway 18
Apple Valley, CA 92307-1221
Phone (760) 946-8200
Other providers in Apple Valley, CA
- Alyx Rae Allen
- Monique Helen Louisa Allen
- Samantha Allen
- Kellsie Allender
- Alleviate Care-Apple Valley LLC
- Aniyah Almarez
- Nuha Alomari
- Alpha Connection Youth & Family Services
- Alpha Connection Youth & Family Services
- Alpha Connection Youth & Family Services
All providers in Apple Valley, CA · General Practice Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.