Individual
KATHERINE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1001 W EAGLE DR, DECATUR, TX 76234-3745
(940) 627-7829
(940) 627-7464
Mailing address
PO BOX 1655, 308 W. ROCK ISLAND, BOYD, TX 76023-1655
(940) 433-5122
(940) 433-8309
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
529851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529851
LICENSE
TX
Enumeration date
10/24/2006
Last updated
04/23/2008
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