Individual
KATHLEEN M. NADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP, GNP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
254361
TX
363LG0600X
Gerontology Nurse Practitioner
254361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154060101
—
TX
05
—
154060103
—
TX
01
—
154060104
MEDICAID CSHCN
TX
01
—
500027717
RR MEDICARE
TX
01
—
8N2995
BCBS
TX
Enumeration date
10/18/2006
Last updated
12/07/2018
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