Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Deatherage

Individual provider Nurse's Aide · NPI 1134559180

Katherine Deatherage is a Nurse's Aide in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.

Licensed in
OK
In the registry since
2013

Practice location Address checks out

1200 W 4th St Ste D
Tahlequah, OK 74464-5013
Phone: (918) 485-0113
Fax: (918) 458-0075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 37V064210311 (OK)

Record details

NPI number1134559180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2013
Last updated in NPPESNovember 12, 2013

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