Provider Demographics
NPI:1487662425
Name:CORNISH, CATHERINE DEBOO (WHNP-BC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:DEBOO
Last Name:CORNISH
Suffix:
Gender:
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4428 OAK KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3251
Mailing Address - Country:US
Mailing Address - Phone:214-415-8751
Mailing Address - Fax:
Practice Address - Street 1:7900 HENNEMAN WAY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2906
Practice Address - Country:US
Practice Address - Phone:214-544-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP114185363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health