Provider Demographics
NPI:1407392442
Name:GLEASON, KAREY ANN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KAREY
Middle Name:ANN
Last Name:GLEASON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:KAREY
Other - Middle Name:ANN
Other - Last Name:VASILIAUSKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:5900 AUSTIN WATERS
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4545
Mailing Address - Country:US
Mailing Address - Phone:225-802-8749
Mailing Address - Fax:
Practice Address - Street 1:2719 VIRGINIA PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4917
Practice Address - Country:US
Practice Address - Phone:469-625-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132990367500000X
LAAP09454367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered