Provider Demographics
NPI:1508301268
Name:AINSWORTH, CRISTY (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CRISTY
Middle Name:
Last Name:AINSWORTH
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:CRISTY
Other - Middle Name:
Other - Last Name:COWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 S COULTER ST STE 413
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1766
Mailing Address - Country:US
Mailing Address - Phone:806-677-7952
Mailing Address - Fax:806-353-6081
Practice Address - Street 1:1301 S COULTER ST STE 413
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1766
Practice Address - Country:US
Practice Address - Phone:806-677-7952
Practice Address - Fax:806-353-6081
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132918363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner