Provider Demographics
NPI:1003593575
Name:SANTOVENA, KATHERINE LAMAR (MSN, WHNP-BC, RN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LAMAR
Last Name:SANTOVENA
Suffix:
Gender:F
Credentials:MSN, WHNP-BC, RN
Other - Prefix:
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Mailing Address - Street 1:10761 YELLOWTAIL BLVD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3051
Mailing Address - Country:US
Mailing Address - Phone:361-946-2003
Mailing Address - Fax:
Practice Address - Street 1:430 W BANDERA RD STE 9
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2521
Practice Address - Country:US
Practice Address - Phone:210-233-7000
Practice Address - Fax:830-816-2103
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1129530363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health