Provider Demographics
NPI:1417222118
Name:KNATT, CARTESSA DANETTE (ANP)
Entity Type:Individual
Prefix:
First Name:CARTESSA
Middle Name:DANETTE
Last Name:KNATT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:CARTESSA
Other - Middle Name:KNATT
Other - Last Name:ZENO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ANP
Mailing Address - Street 1:2030 NORTH LOOP W STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8112
Mailing Address - Country:US
Mailing Address - Phone:713-476-0421
Mailing Address - Fax:
Practice Address - Street 1:2030 NORTH LOOP W STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8112
Practice Address - Country:US
Practice Address - Phone:713-476-0421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX687034363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health