Provider Demographics
NPI:1184764805
Name:VANBEEK, CATHERINE ANGELINE (NP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ANGELINE
Last Name:VANBEEK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 DELANEY TER
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7570
Mailing Address - Country:US
Mailing Address - Phone:972-539-9855
Mailing Address - Fax:
Practice Address - Street 1:1600 W COLLEGE ST
Practice Address - Street 2:SUITE 1101
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3580
Practice Address - Country:US
Practice Address - Phone:817-424-3112
Practice Address - Fax:817-488-2820
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX659235363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health