Wieringa, Katie B

Wieringa, Katie B is an individual health care provider with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Wieringa, Katie B can be contacted via phone (419) 291-5318.

Contact Information

Primary practice address
2142 N Cove Blvd Toledo OH 43606-3895
Phone: (419) 291-5318
Fax: (419) 291-6430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704250648 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 4704250648 Michigan

Profile Details

NPI number 1871870568
LBN Legal business name Wieringa, Katie B
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2011
Last updated Jun 23rd, 2015 - about 9 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 1871870568 NPPES
Ohio MEDICAID 0057181

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