Omernik, Katie Marie

Omernik, Katie Marie is an individual health care provider with primary practice located at 2031 Peach St , Wisconsin Rapids WI 54494-5181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Omernik, Katie Marie can be contacted via phone (715) 423-0122.

Contact Information

Primary practice address
2031 Peach St Wisconsin Rapids WI 54494-5181
Phone: (715) 423-0122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7916-33 Wisconsin

Profile Details

NPI number 1083132526
LBN Legal business name Omernik, Katie Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Dec 20th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083132526 NPPES
Wisconsin MEDICAID 1083132526

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