Provider Demographics
NPI:1093415358
Name:MAHER, CATHERINE CELESTIAL (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:CELESTIAL
Last Name:MAHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:CELESTIAL
Other - Last Name:COWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4501 S GENERAL BRUCE DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-1469
Mailing Address - Country:US
Mailing Address - Phone:254-743-1603
Mailing Address - Fax:
Practice Address - Street 1:4501 S GENERAL BRUCE DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1469
Practice Address - Country:US
Practice Address - Phone:254-743-1603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1094082363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care