Van Atta, Katherine Grace
Van Atta, Katherine Grace is an individual health care provider with primary practice located at 5000 E Shennum Dr , Wasilla AK 99654-7718. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Van Atta, Katherine Grace can be contacted via phone (907) 373-3420.Contact Information
Primary practice address
5000 E Shennum Dr
Wasilla AK 99654-7718
Phone: (907) 373-3420
Fax: (907) 376-7847
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 879 | Alaska |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
NPI number | 1740358167 |
---|---|
LBN Legal business name | Van Atta, Katherine Grace |
Credentials | PA-C, CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2006 |
Last updated | Feb 19th, 2024 - about 7 months 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 | 1740358167 | NPPES |
Alaska | MEDICAID | MDA0205 |
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