Wellformed AI

NPI 1003371980 · live from the CMS NPI Registry

Katherine Anne Hollenbeck, RN

Registered Nurse, Diabetes Educator in Jay, OK. National Provider Identifier 1003371980, active.

NPI record

NPI1003371980 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Diabetes Educator 163WD0400X
Practice location859 E Melton Dr, Jay, OK 74346
Practice phone918-253-1738
EnumeratedFebruary 5, 2019
Last updatedFebruary 5, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Diabetes Educator primary163WD0400X82883 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.