Katherine Renae Prusse, is a
Student In An Organized Health Care Education/training Program based in Ogden, Utah. Katherine Renae Prusse is licensed to practice in * (Not Available) (license number ) and her current practice location is
3848 Harrison Blvd, Ogden, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 626-6000.
NPI number for Katherine Renae Prusse is 1316702806 and her current mailing address is 3848 Harrison Blvd, Ogden, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316702806.
Provider's Profile
| Full Name | Katherine Renae Prusse |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3848 Harrison Blvd, Ogden, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316702806
- Provider Enumeration Date: 02/14/2024
- Last Update Date: 02/14/2024
Medical Identifiers
Medical identifiers for Katherine Renae Prusse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316702806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 10395769-3102 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Renae Prusse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katherine Renae Prusse,
3848 Harrison Blvd,
Ogden, UT 84408-0001
Ph: (801) 626-6000 | Katherine Renae Prusse,
3848 Harrison Blvd,
Ogden, UT 84408-0001
Ph: (801) 626-6000 |
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