Provider Demographics
NPI:1962522276
Name:CAWTHON, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CAWTHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 COUNTRY SQUARE DR
Mailing Address - Street 2:# 601
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-8720
Mailing Address - Country:US
Mailing Address - Phone:469-854-1212
Mailing Address - Fax:
Practice Address - Street 1:2722 HOLLANDALE LN
Practice Address - Street 2:STE 300
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-2035
Practice Address - Country:US
Practice Address - Phone:972-247-7500
Practice Address - Fax:972-247-8811
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95576164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse