Provider Demographics
NPI:1639423452
Name:ZETHRAUS, CHRISTINE (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ZETHRAUS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1050 SWEENEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-1320
Mailing Address - Country:US
Mailing Address - Phone:817-422-8116
Mailing Address - Fax:833-797-1915
Practice Address - Street 1:5900 BALCONES DR STE 4000
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4257
Practice Address - Country:US
Practice Address - Phone:817-618-2977
Practice Address - Fax:833-797-1915
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX751054363LP0808X
TXAP122782363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01277788OtherRAILROAD MEDICARE
TX892N17OtherBCBS
TX312788801Medicaid
TXP01277788OtherRAILROAD MEDICARE