Provider Demographics
NPI:1477044253
Name:WATKINS, KAREN COLLEEN (FNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:COLLEEN
Last Name:WATKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:678 LAZY LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1981
Mailing Address - Country:US
Mailing Address - Phone:409-939-9087
Mailing Address - Fax:
Practice Address - Street 1:13230 FM 1764 RD STE C
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-9132
Practice Address - Country:US
Practice Address - Phone:409-316-9085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-28
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136973363LF0000X
TX661574163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP136973OtherAPRN LICENSE