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NPI Code Detail

MEDICARE: KATRINA NANIO RN

MEDICARE: KATRINA NANIO RN
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
1163W00000XRegistered NurseRN.61116208WA

General Provider Information

NPI Number : 1730665928
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA NANIO RN
Provider Business Mailing Address
First Line : 3311 REDWOOD AVE APT 4
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1530 ELLIS ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-4905
Country : US
Telephone Number : 360-734-9095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2018
Last Update Date : 05/21/2026

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