Healthcare Provider Details

I. General information

NPI: 1831908581
Provider Name (Legal Business Name): KATHRYN PAP NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6044 US 41 S STE 4
MARQUETTE MI
49855-9090
US

IV. Provider business mailing address

6044 US 41 S STE 4
MARQUETTE MI
49855-9090
US

V. Phone/Fax

Practice location:
  • Phone: 906-256-2406
  • Fax: 906-242-2456
Mailing address:
  • Phone: 269-348-6329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP031466
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704344088
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5021872
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: