Provider Demographics
NPI:1891392866
Name:KRAMER, NAOMI KAY (FNP-C)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:KAY
Last Name:KRAMER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2990 STATE HIGHWAY 66
Mailing Address - Street 2:
Mailing Address - City:CADDO MILLS
Mailing Address - State:TX
Mailing Address - Zip Code:75135-6196
Mailing Address - Country:US
Mailing Address - Phone:972-533-8556
Mailing Address - Fax:
Practice Address - Street 1:2990 STATE HIGHWAY 66
Practice Address - Street 2:
Practice Address - City:CADDO MILLS
Practice Address - State:TX
Practice Address - Zip Code:75135
Practice Address - Country:US
Practice Address - Phone:972-533-8556
Practice Address - Fax:341-999-2031
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1006740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily