National Provider Identifier
Katrina Marie Phanthourath
Katrina Marie Phanthourath is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 530-7626.
Profile Overview
- NPI
- 1629804661
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- September 09, 2024
- Last Updated
- September 09, 2024
Practice Location
- 48 Gawaine Ln
- Rochester, NY 14623-5536
Phone: (585) 530-7626
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1629804661
- Entity Type
- Individual
- Last Name
- Phanthourath
- First Name
- Katrina
- Middle Name
- Marie
- Mailing Street Address
- 48 Gawaine Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-5536
- Mailing Country
- US
- Practice Street Address
- 48 Gawaine Ln
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-5536
- Practice Country
- US
- Practice Phone
- (585) 530-7626
- Enumeration Date
- September 09, 2024
- Last Updated
- September 09, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)