Provider Demographics
NPI:1093088809
Name:WARING, KATHRYN A (GNP-BC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:WARING
Suffix:
Gender:F
Credentials:GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 S WW WHITE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-2531
Mailing Address - Country:US
Mailing Address - Phone:210-447-3033
Mailing Address - Fax:210-447-3036
Practice Address - Street 1:1032 S WW WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220-2531
Practice Address - Country:US
Practice Address - Phone:210-447-3033
Practice Address - Fax:210-447-3036
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253899363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology