MEDICARE: KARLA KATIGBAK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	26NR14874900	NJ

General Provider Information

NPI Number	:	1164196382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA KATIGBAK

Provider Business Mailing Address
First Line	:	4076 NEELY RD
Second Line	:
City	:	FORT WAINWRIGHT
State	:	AK
Zip	:	99703
Country	:	US
Telephone Number	:	908-418-7517
Fax Number	:

Provider Business Practice Location Address
First Line	:	NORTH LOOP ROAD
Second Line	:	BLDG 390
City	:	FORT IRWIN
State	:	CA
Zip	:	92310
Country	:	US
Telephone Number	:	760-383-5480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2021
Last Update Date	:	02/03/2026

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Directions to “ KARLA KATIGBAK ” Practice Location

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