Mayorga, Kathleen Anne
Mayorga, Kathleen Anne is an sole proprietor health care provider with primary practice located at 100 E Louisiana St Suite 6, Mckinney TX 75069-4412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mayorga, Kathleen Anne can be contacted via phone (217) 428-7060.Contact Information
Primary practice address
100 E Louisiana St Suite 6
Mckinney TX 75069-4412
Phone: (217) 428-7060
Fax: (972) 542-8172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 554960 | Texas |
Profile Details
| NPI number | 1922112101 |
|---|---|
| LBN Legal business name | Mayorga, Kathleen Anne |
| Credentials | RN CNM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Nov 24th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922112101 | NPPES |
| Texas | MEDICAID | 1487837 |
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