Provider Demographics
NPI:1912257676
Name:PITERA, NATTY S (CRNA)
Entity Type:Individual
Prefix:
First Name:NATTY
Middle Name:S
Last Name:PITERA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:NATTY
Other - Middle Name:S
Other - Last Name:EHIZOKHALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:26622 COOK FIELD RD STE 400
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2139
Mailing Address - Country:US
Mailing Address - Phone:346-257-6951
Mailing Address - Fax:
Practice Address - Street 1:6720 BERTNER AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2604
Practice Address - Country:US
Practice Address - Phone:823-355-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001240990163W00000X
VA0024170542367500000X
TX1007554367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse