Provider Demographics
NPI:1548645773
Name:EHR, KATRINA (RN)
Entity type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:
Last Name:EHR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1325
Mailing Address - Country:US
Mailing Address - Phone:517-648-7157
Mailing Address - Fax:
Practice Address - Street 1:2089 PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1325
Practice Address - Country:US
Practice Address - Phone:517-648-7157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704218405163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse