KATIE J STREET LPN - NPI 1679724389 - Licensed Practical Nurse in Trenton, MO

Q: What is Katie Street's NPI number?

The NPI number for Katie Street is 1679724389. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Q: What is Katie Street'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 Katie Street was last updated on October 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Katie J Street Lpn NPPES

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

KATIE J STREET LPN (NPI 1679724389) is an individual licensed practical nurse in Trenton, Missouri, licensed in Missouri (2007036110) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1679724389

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKATIE J STREETCredential: LPN

Location Address1628 OKLAHOMA AVETrenton, MO 64683-2565

Mailing Address900 E Laharpe StKirksville, MO 63501-4520 · (660) 665-1962 · Fax (660) 665-3989

Phone(660) 359-4600

Fax(660) 359-4286

Sole ProprietorNo

Enumeration DateOctober 1, 2008

✔ NPI 1679724389 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 MO · 2007036110

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.

1628 OKLAHOMA AVE, Trenton, MO 64683

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