Provider Demographics
NPI:1679182661
Name:ISKIV, KATERYNA (NP)
Entity Type:Individual
Prefix:
First Name:KATERYNA
Middle Name:
Last Name:ISKIV
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1206 BENT OAKS CT STE 200
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8033
Mailing Address - Country:US
Mailing Address - Phone:940-320-8614
Mailing Address - Fax:866-391-0868
Practice Address - Street 1:1206 BENT OAKS CT STE 200
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8033
Practice Address - Country:US
Practice Address - Phone:940-320-8614
Practice Address - Fax:866-391-0868
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP146149207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty