Provider Demographics
NPI:1295256717
Name:PRATZ, CAITLIN NOEL (NP)
Entity type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:NOEL
Last Name:PRATZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:STRACKBEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2360 HIGHWAY 157 N
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7540
Mailing Address - Country:US
Mailing Address - Phone:817-453-2123
Mailing Address - Fax:
Practice Address - Street 1:2360 HIGHWAY 157 N
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7540
Practice Address - Country:US
Practice Address - Phone:817-453-2123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily