Provider Demographics
NPI:1649810748
Name:PARKER, CATRINA ANTOINETTE (APRN-FNP-C)
Entity type:Individual
Prefix:
First Name:CATRINA
Middle Name:ANTOINETTE
Last Name:PARKER
Suffix:
Gender:F
Credentials:APRN-FNP-C
Other - Prefix:
Other - First Name:CATRINA
Other - Middle Name:PARKER
Other - Last Name:SPOONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12280 BROADWAY ST STE 1107B
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7868
Mailing Address - Country:US
Mailing Address - Phone:225-505-1698
Mailing Address - Fax:
Practice Address - Street 1:12280 BROADWAY ST STE 1107B
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7868
Practice Address - Country:US
Practice Address - Phone:225-505-1698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA210778363LF0000X
TX1137135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily