Individual
CATHERINE RENEE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1305 WONDER WORLD DR STE 105, YPS - CREDENTIALING, SAN MARCOS, TX 78666-7502
(512) 353-8161
(512) 353-8255
Mailing address
303 COUNTY ROAD 144B, MARBLE FALLS, TX 78654-8020
(337) 356-3242
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN052364
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1549169
—
LA
01
—
8179UF
BXBS OF TX
TX
Enumeration date
08/29/2006
Last updated
06/22/2016
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