Provider Demographics
NPI:1497495550
Name:CONTRERAS, CASEY SHARI (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:SHARI
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:SHARI
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3622 GLENWOOD SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1170
Mailing Address - Country:US
Mailing Address - Phone:832-367-2810
Mailing Address - Fax:
Practice Address - Street 1:7400 FANNIN ST STE 770
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1970
Practice Address - Country:US
Practice Address - Phone:713-463-5668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801901163W00000X, 163WC0200X, 163WE0003X, 163WF0300X, 163WP0200X
TX1074406363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WF0300XNursing Service ProvidersRegistered NurseFlight
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1074406OtherTEXAS BOARD OF NURSING