Provider Demographics
NPI:1659343788
Name:FRANKLIN, KATRINA L (CRNA)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:L
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:L
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5512 TRIBUNE WAY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5500 DEMOCRACY DR
Practice Address - Street 2:SUITE 150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3593
Practice Address - Country:US
Practice Address - Phone:972-494-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX534520367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158453402Medicaid
TX158453402Medicaid