Lucas, Kathryn Ann
Lucas, Kathryn Ann is an individual health care provider with primary practice located at Fort Defiance Phs Hospital Corner Of Rt N12 And N7, Fort Defiance AZ 86504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lucas, Kathryn Ann can be contacted via phone (928) 729-8770.Contact Information
Primary practice address
Fort Defiance Phs Hospital Corner Of Rt N12 And N7
Fort Defiance AZ 86504
Phone: (928) 729-8770
Fax: (928) 729-8804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 513 | New Mexico |
Profile Details
| NPI number | 1518046879 |
|---|---|
| LBN Legal business name | Lucas, Kathryn Ann |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518046879 | NPPES |
| New Mexico | MEDICAID | 02880580 | |
| New Mexico | Other | 840620 |
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