Provider Demographics
NPI:1861522377
Name:KATUS, ALISON BARBARA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:BARBARA
Last Name:KATUS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 462
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-0462
Mailing Address - Country:US
Mailing Address - Phone:360-331-5060
Mailing Address - Fax:360-331-2104
Practice Address - Street 1:5486 HARBOR AVE
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-3002
Practice Address - Country:US
Practice Address - Phone:360-331-5060
Practice Address - Fax:360-331-2104
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00096206163W00000X
WAAP60808593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN