Mace, Katrina Larene
Mace, Katrina Larene is an sole proprietor health care provider with primary practice located at 1047 S Wells St , Meridian ID 83642-7997. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mace, Katrina Larene can be contacted via phone (208) 297-3428.Contact Information
Primary practice address
1047 S Wells St
Meridian ID 83642-7997
Phone: (208) 297-3428
Fax: (208) 297-3978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 78422 | Idaho |
Profile Details
| NPI number | 1477323947 |
|---|---|
| LBN Legal business name | Mace, Katrina Larene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2024 |
| Last updated | May 28th, 2024 - about 2 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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