Provider Demographics
NPI:1932667474
Name:PENCE, CATHERINE TAYLOR (MSN, AGNP-C)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:TAYLOR
Last Name:PENCE
Suffix:
Gender:F
Credentials:MSN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SABINE ST APT 158
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8355
Mailing Address - Country:US
Mailing Address - Phone:703-851-1059
Mailing Address - Fax:
Practice Address - Street 1:12525 MEMORIAL DR STE 390
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-6050
Practice Address - Country:US
Practice Address - Phone:832-522-7800
Practice Address - Fax:832-522-7801
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140737363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAG02190020OtherTHE AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
TXAP140737OtherTEXAS BOARD OF NURSING