Provider Demographics
NPI:1053628925
Name:KRINGS, CATHERINE LISONDRA (MSN,FNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LISONDRA
Last Name:KRINGS
Suffix:
Gender:F
Credentials:MSN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13945 W GRAND AVE STE A-105
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-2437
Mailing Address - Country:US
Mailing Address - Phone:623-546-0007
Mailing Address - Fax:623-584-6915
Practice Address - Street 1:13945 W GRAND AVE STE A-105
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2437
Practice Address - Country:US
Practice Address - Phone:623-546-0007
Practice Address - Fax:623-584-6915
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ143512Medicare PIN