Katelynn Burge, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Houtzdale, PA
NPI 1689423287 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1689423287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- SP029660 (PA)
- Practice address
- 209 Institution Dr
Houtzdale, PA 16698-0001 - Phone
- (814) 378-1000
- NPI assigned
- May 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SP029660 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP029660 | PA | Yes |
Addresses
Primary practice location
209 Institution Dr
Houtzdale, PA 16698-0001
Mailing address
434 Blue Spruce Rd
Philipsburg, PA 16866-8323
Phone (814) 933-6387
Other providers in Houtzdale, PA
- Michele Biancuzzo
- Alexander Farid Boumerhi
- Pierre Boumerhi
- Clear Med Provider Corporation
- Columbia Ancillary Services Inc.
- Nadine Davis
- Kelly Jo Marie Dotts
- Jodi K Forcey Porter
All providers in Houtzdale, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. 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.