Katherine Therese Gansen, ARNP, FNP-BC
Nurse Practitioner, Family in Manchester, IA. Individual provider (NPI-1).
NPI number1609024652
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1609024652
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Katherine Therese Gansen
- Credential
- ARNP, FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2008
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A-112756 | IA | Yes |
Practice location
709 W Main StManchester, IA 52057-1526
Phone 563-927-7777 · Fax 563-583-3760
Mailing address
709 W Main StManchester, IA 52057-1526
Phone 563-927-7777
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