Provider Demographics
NPI:1114780400
Name:OPPS, KATHERINE CHRISTINE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:CHRISTINE
Last Name:OPPS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:CHRISTINE
Other - Last Name:RODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 947407
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30394-7407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:14405 ARBOR GREEN TRL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-8409
Practice Address - Country:US
Practice Address - Phone:941-917-7080
Practice Address - Fax:941-917-7085
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030897363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily