Provider Demographics
NPI:1215282066
Name:PERKINS, PATRICIA ANN (APRN-CNM)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:PERKINS
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14157 HORSESHOE BND
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3521
Mailing Address - Country:US
Mailing Address - Phone:936-271-4911
Mailing Address - Fax:936-271-4902
Practice Address - Street 1:14157 HORSESHOE BND
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3521
Practice Address - Country:US
Practice Address - Phone:936-271-4911
Practice Address - Fax:936-271-4902
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121859367A00000X
TX522094367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife