Provider Demographics
NPI:1346905403
Name:GASTINGER, KAITLIN EILEEN (NP)
Entity Type:Individual
Prefix:MRS
First Name:KAITLIN
Middle Name:EILEEN
Last Name:GASTINGER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:12221 N MOPAC EXPY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2483
Mailing Address - Country:US
Mailing Address - Phone:512-901-4937
Mailing Address - Fax:855-217-6283
Practice Address - Street 1:1250 S CAPITAL OF TEXAS HWY STE 100
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6446
Practice Address - Country:US
Practice Address - Phone:512-334-2400
Practice Address - Fax:512-334-2493
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2022-03-30
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Provider Licenses
StateLicense IDTaxonomies
TX881500363LF0000X
TX1069455363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily