Whalio Doctors

NPI 1003047663

Kathy Agnese, RN

Practitioner Case Management Registered Nurse Clearlake, CA

Practice location

Address
14644b Lakeshore Dr, Clearlake, CA 95422-9290
Phone
(707) 995-1606
Fax
(707) 995-0309

Registered specialties

Case Management Registered Nurse Primary
Nursing Service Providers Taxonomy 163WC0400X Licence 724431 (CA)

Registry record

NPI
1003047663
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Jul 2009
Record last updated
30 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.