Provider Demographics
NPI:1972201960
Name:COMPEAN, KRYSTYNE (FNP)
Entity type:Individual
Prefix:
First Name:KRYSTYNE
Middle Name:
Last Name:COMPEAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 WILLOWICK RD APT 846
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4079
Mailing Address - Country:US
Mailing Address - Phone:979-255-3977
Mailing Address - Fax:
Practice Address - Street 1:2511 WILLOWICK RD APT 846
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4079
Practice Address - Country:US
Practice Address - Phone:979-255-3977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1134071363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner