KATELYN POULSEN LPN
NPI 1598464364
Licensed Practical Nurse in Goodyear, AZ

Q: What is Katelyn Poulsen's NPI number?

The NPI number for Katelyn Poulsen is 1598464364. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Q: What is Katelyn Poulsen's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Poulsen was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 01, 2023

15778 W YUMA RD, GOODYEAR, AZ 85338(623) 932-7500 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katelyn Poulsen Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN POULSEN LPN (NPI 1598464364) is an individual licensed practical nurse in Goodyear, Arizona, licensed in Arizona (282584) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1598464364

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKATELYN POULSENCredential: LPN

Location Address15778 W YUMA RDGoodyear, AZ 85338-3358

Mailing Address15778 W Yuma RdGoodyear, AZ 85338-3358 · (623) 932-7500

Phone(623) 932-7500

Sole ProprietorNo

Enumeration DateMarch 1, 2023

NPPES CertifiedJanuary 17, 2023

✔ NPI 1598464364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AZ · 282584

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

15778 W YUMA RD, Goodyear, AZ 85338

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Other Names 1

Former Name (1)Katelyn Poulsen

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DAWN WADE LPN

Licensed Practical Nurse