Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP133838 | TX |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP133838 | TX |
NPI | 1003330101 |
---|---|
Provider Name | Sherryl Yvonne Katinga |
First Address | Frisco, TX 75034-9566 |
Second Address | Frisco, TX 75034-9383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2017 |
Last Update Date | 05/04/2021 |