Provider Demographics
NPI:1851925440
Name:MAU, KAROLYN SUE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAROLYN
Middle Name:SUE
Last Name:MAU
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 HIGHWAY 71 S
Mailing Address - Street 2:STE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-9222
Mailing Address - Country:US
Mailing Address - Phone:979-733-0238
Mailing Address - Fax:979-234-0497
Practice Address - Street 1:2545 BRUNES MILL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-6100
Practice Address - Country:US
Practice Address - Phone:979-733-4022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily