Provider Demographics
NPI:1053906818
Name:ELLIOTT, KAREEN (APRN, CPNP PC)
Entity type:Individual
Prefix:
First Name:KAREEN
Middle Name:
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:APRN, CPNP PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 DOVECOFT LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-4778
Mailing Address - Country:US
Mailing Address - Phone:281-408-3089
Mailing Address - Fax:
Practice Address - Street 1:7504 BISSONNET ST # T9
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5502
Practice Address - Country:US
Practice Address - Phone:832-658-5260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029910363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty