Provider Demographics
NPI:1851856785
Name:SHERMAN, KATRINA ELIZABETH ZEIGLER (CNM)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:ELIZABETH ZEIGLER
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:ELIZABETH
Other - Last Name:ZEIGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2605 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5418
Mailing Address - Country:US
Mailing Address - Phone:239-691-1112
Mailing Address - Fax:
Practice Address - Street 1:1201 W 38TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1006
Practice Address - Country:US
Practice Address - Phone:512-324-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139723367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife