Provider Demographics
NPI:1326460155
Name:ANDERSON, KATHRYN NICOLE (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:NICOLE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:MISS
Other - First Name:KATIE
Other - Middle Name:NICOLE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:8700 US HIGHWAY 380
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CROSSROADS
Mailing Address - State:TX
Mailing Address - Zip Code:76227-2659
Mailing Address - Country:US
Mailing Address - Phone:940-365-7033
Mailing Address - Fax:940-365-7048
Practice Address - Street 1:8700 US HIGHWAY 380
Practice Address - Street 2:SUITE 300
Practice Address - City:CROSSROADS
Practice Address - State:TX
Practice Address - Zip Code:76227-2659
Practice Address - Country:US
Practice Address - Phone:940-365-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX769624363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily