Wine, Katy Helene

Wine, Katy Helene is an individual health care provider with primary practice located at 1414 Cross St Ste 240 , Shiloh IL 62269-2941. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wine, Katy Helene can be contacted via phone (618) 234-2390.

Contact Information

Primary practice address
1414 Cross St Ste 240 Shiloh IL 62269-2941
Phone: (618) 234-2390
Fax: (618) 234-9936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2019001390 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019001390 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209018627 Illinois

Profile Details

NPI number 1174150726
LBN Legal business name Wine, Katy Helene
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2020
Last updated Apr 10th, 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.

Request for update

Popular Providers