Provider Demographics
NPI:1891392866
Name:KRAMER, NAOMI KAY (FNP-C)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:KAY
Last Name:KRAMER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:MCCULLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4611 COUNTY ROAD 2604
Mailing Address - Street 2:
Mailing Address - City:CADDO MILLS
Mailing Address - State:TX
Mailing Address - Zip Code:75135-6100
Mailing Address - Country:US
Mailing Address - Phone:972-533-8556
Mailing Address - Fax:
Practice Address - Street 1:375 FM 548 STE 100
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6985
Practice Address - Country:US
Practice Address - Phone:972-564-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1006740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily