Individual
KATIE STANDEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-2539
(409) 772-2222
Mailing address
925 AVENUE J, DICKINSON, TX 77539-5295
(281) 910-3675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP123887
TX
363LA2200X
Adult Health Nurse Practitioner
AP123887
TX
Other
Enumeration date
07/10/2013
Last updated
11/20/2023
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