Provider Demographics
NPI:1538409719
Name:ROSHONE, KATHERINE J (RN)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:J
Last Name:ROSHONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:J
Other - Last Name:NOVOTNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1006 BERKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3803
Mailing Address - Country:US
Mailing Address - Phone:402-598-7894
Mailing Address - Fax:
Practice Address - Street 1:1006 BERKLEY AVE
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3803
Practice Address - Country:US
Practice Address - Phone:402-598-7894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE69033163WC0200X
MNR 204432-3163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine