Provider Demographics
NPI:1427241413
Name:BADE, CAROLINE ANN (RNC FNP MSN)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ANN
Last Name:BADE
Suffix:
Gender:F
Credentials:RNC FNP MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 NELSON
Mailing Address - Street 2:SUITE C
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995
Mailing Address - Country:US
Mailing Address - Phone:361-293-7061
Mailing Address - Fax:361-293-7892
Practice Address - Street 1:210 NELSON
Practice Address - Street 2:SUITE C
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995
Practice Address - Country:US
Practice Address - Phone:361-293-7061
Practice Address - Fax:361-293-7892
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily