Provider Demographics
NPI:1407191190
Name:KILLEN, JOAN MARIE (PH D RN-C FNP)
Entity Type:Individual
Prefix:PROF
First Name:JOAN
Middle Name:MARIE
Last Name:KILLEN
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Gender:F
Credentials:PH D RN-C FNP
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Mailing Address - Street 1:6700 FANNIN ST
Mailing Address - Street 2:TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2343
Mailing Address - Country:US
Mailing Address - Phone:713-794-2100
Mailing Address - Fax:713-794-2103
Practice Address - Street 1:6700 FANNIN ST
Practice Address - Street 2:TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2343
Practice Address - Country:US
Practice Address - Phone:713-794-2100
Practice Address - Fax:713-794-2103
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
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Provider Licenses
StateLicense IDTaxonomies
TX430606363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily