MS. KATHY AGNESE R.N. NPI 1003047663

NPI Information

NPI: 1003047663
Provider Name: MS. KATHY AGNESE, R.N.
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
14644B LAKESHORE DR
CLEARLAKE, CA
ZIP 95422
Phone: (707) 995-1606
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MS. Kathy Agnese, R.N. is a case management registered nurse in Clearlake, CA. MS. Kathy Agnese, R.N. NPI is 1003047663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14644B LAKESHORE DR
CLEARLAKE, CA
ZIP 95422-290
Phone: (707) 995-1606
Fax: (707) 995-0309

The enumeration date for this NPI number is 7/30/2009 and was last updated on 7/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	724431	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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