Provider Demographics
NPI:1245566249
Name:HERTTENBERGER, CATALINA DELACRUZ (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CATALINA
Middle Name:DELACRUZ
Last Name:HERTTENBERGER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:CATHY
Other - Middle Name:ESTRELLA
Other - Last Name:HERTTENBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1166 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-5014
Mailing Address - Country:US
Mailing Address - Phone:325-673-4242
Mailing Address - Fax:
Practice Address - Street 1:1166 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-5014
Practice Address - Country:US
Practice Address - Phone:325-673-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX464641363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily