Individual
TALLY KRIENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
700 N SAM HOUSTON PKWY W, HOUSTON, TX 77067-4335
(832) 828-1005
Mailing address
700 N SAM HOUSTON PKWY W, HOUSTON, TX 77067-4335
(832) 828-1005
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP138712
TX
367A00000X
Advanced Practice Midwife
CNM620
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881146892
—
NC
Enumeration date
10/26/2016
Last updated
12/13/2018
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