Provider Demographics
NPI:1144371964
Name:HIRNER, KATRINA EILEEN (BSN, RN)
Entity type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:EILEEN
Last Name:HIRNER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MS
Other - First Name:KATRINA
Other - Middle Name:EILEEN
Other - Last Name:BURNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:240 UNION STATION PLAZA
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:484-526-2786
Mailing Address - Fax:484-893-7096
Practice Address - Street 1:240 UNION STATION PLAZA
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:484-526-2786
Practice Address - Fax:484-893-7096
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN356280L163WC1500X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016115320002Medicaid
PA106115320001OtherPROMISE PROVIDER NUMBER