Provider Demographics
NPI:1669479200
Name:COURTNEY, MAUREEN MARIE (NP)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:MARIE
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:REINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:3308 SUNSET OAKS ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-5945
Mailing Address - Country:US
Mailing Address - Phone:817-845-6318
Mailing Address - Fax:817-469-9090
Practice Address - Street 1:3308 SUNSET OAKS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5945
Practice Address - Country:US
Practice Address - Phone:817-845-6318
Practice Address - Fax:817-469-9090
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicare UPIN