Provider Demographics
NPI:1568848786
Name:DELL'ORCO, KATHLEEN (RNC,WHNP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:DELL'ORCO
Suffix:
Gender:F
Credentials:RNC,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21700 KINGSLAND BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2547
Mailing Address - Country:US
Mailing Address - Phone:281-398-8639
Mailing Address - Fax:281-398-5019
Practice Address - Street 1:21700 KINGSLAND BLVD STE 202
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2547
Practice Address - Country:US
Practice Address - Phone:281-398-8639
Practice Address - Fax:281-398-5019
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP114787364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health