Provider Demographics
NPI:1558701763
Name:ZENDEJAS, KATRINA CELESTE (MSN, APRN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:CELESTE
Last Name:ZENDEJAS
Suffix:
Gender:F
Credentials:MSN, APRN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 LAKEVIEW PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4177
Mailing Address - Country:US
Mailing Address - Phone:972-412-4813
Mailing Address - Fax:972-412-6967
Practice Address - Street 1:3705 LAKEVIEW PKWY STE 400
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088
Practice Address - Country:US
Practice Address - Phone:972-412-4813
Practice Address - Fax:972-412-6967
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137850363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics