Warren, Kathryn Grace

Warren, Kathryn Grace is an individual health care provider with primary practice located at 2714 Riverview Dr , Green Bay WI 54313-6715. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Warren, Kathryn Grace can be contacted via phone (920) 430-4760.

Contact Information

Primary practice address
2714 Riverview Dr Green Bay WI 54313-6715
Fax: (920) 430-4774
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 138209-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5881-33 Wisconsin

Profile Details

NPI number 1255747325
LBN Legal business name Warren, Kathryn Grace
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2014
Last updated Dec 31st, 2019 - 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 1255747325 NPPES
Other F0714353 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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