Individual provider · Type 1 NPI

Katherine Deatherage

Nurse's Aide · Tahlequah, OK

NPI number 1134559180 Active

Practice location

1200 W 4th St, Ste. D
Tahlequah, OK 74464-5013

Fax (918) 458-0075

Mailing address

PO Box 662
Purcell, OK 73080-0662

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X37V064210311 (OK)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1134559180

Katherine Deatherage's National Provider Identifier is 1134559180, issued on Nov 12, 2013. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Tahlequah, OK. The record was last updated on Nov 12, 2013.