Provider Demographics
NPI:1780725093
Name:OTULE, CATHERINE KAFUNDI (RN, MSN, ANP-BC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:KAFUNDI
Last Name:OTULE
Suffix:
Gender:F
Credentials:RN, MSN, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12121 RICHMOND AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2422
Mailing Address - Country:US
Mailing Address - Phone:281-759-2273
Mailing Address - Fax:281-759-0909
Practice Address - Street 1:12121 RICHMOND AVE STE 212
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2422
Practice Address - Country:US
Practice Address - Phone:281-759-2273
Practice Address - Fax:281-759-0909
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXA0706384363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6544718OtherTX BNE ADULT LICENSURE
TX07182OtherLPN
TXA0706384OtherAANP CERTIFICATION
TX07182OtherLPN