Provider Demographics
NPI:1447750336
Name:CATHERINE, SYLVIE N (LVN)
Entity Type:Individual
Prefix:
First Name:SYLVIE
Middle Name:N
Last Name:CATHERINE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9959 ADLETA BLVD APT 410
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-0708
Mailing Address - Country:US
Mailing Address - Phone:469-219-1635
Mailing Address - Fax:
Practice Address - Street 1:1806 DARTMOUTH DR
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-8277
Practice Address - Country:US
Practice Address - Phone:972-802-3373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX331531164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX331531OtherBON TEXAS