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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHERINE ROSE FORD, CRNA

Active

MRS. KATHERINE ROSE FORD, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MENDOTA, Illinois. NPI 1073869475 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · MENDOTA, IL

Registration Details

NPI Number
1073869475
Provider Type
Individual
Gender
Female
NPI Issued
Aug 3, 2012 (13.888014982122 yrs)
Last Updated
Mar 4, 2025
Licenses
209-009634 (IL)
041.328911 (IL)

Practice Information

Address
1401 E 12TH ST
MENDOTA, IL, 61342
Browse IL providers · Browse ZIP 61342
Phone
8153431925
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in MENDOTA, IL

Name Credential NPI
KENNETH K POTTS C.R.N.A. 1316960404
MR. RICHARD JOSPEH BAKER 1376879122
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.