Provider Demographics
NPI:1538941539
Name:KRIER, KATHERINE ANNE (FNP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANNE
Last Name:KRIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ANNE
Other - Last Name:SINNETT-SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2650 JONES WAY STE 30
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1221
Mailing Address - Country:US
Mailing Address - Phone:805-267-6161
Mailing Address - Fax:805-579-9900
Practice Address - Street 1:2650 JONES WAY STE 30
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1221
Practice Address - Country:US
Practice Address - Phone:805-267-6161
Practice Address - Fax:805-579-9900
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily