Provider Demographics
NPI:1124487046
Name:BIRKELBACH, KATE CHRISTINE (RN, MSN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:CHRISTINE
Last Name:BIRKELBACH
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:MISS
Other - First Name:KATE
Other - Middle Name:CHRISTINE
Other - Last Name:HEMMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13215 GRANT RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4093
Mailing Address - Country:US
Mailing Address - Phone:281-374-7457
Mailing Address - Fax:
Practice Address - Street 1:13215 GRANT RD
Practice Address - Street 2:STE 100
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4093
Practice Address - Country:US
Practice Address - Phone:281-374-7457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-19
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129331363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics