Provider Demographics
NPI:1609628759
Name:LIVONE, KATHERINE RARANGOL (APRN- CNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RARANGOL
Last Name:LIVONE
Suffix:
Gender:F
Credentials:APRN- CNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:RARANGOL
Other - Last Name:LIVONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APRN, FNP-BC
Mailing Address - Street 1:17500 W GRAND PKWY S
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2562
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17500 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2562
Practice Address - Country:US
Practice Address - Phone:281-725-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145384363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily