Doctor Name: | CECELIA A KOTHMANN |
NPI Number: | 1942337563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 238956 |
Business Practice Address: | 601 Person Street Stockdale, TX - 781609998 |
Business Phone Number: | 8309963701 |
Business Fax Number: | 8309963749 |
Mailing Address: | 923 10th St, Suite 101, Pmb 118 FLORESVILLE |
State: | TX |
Postal Code: | 781141867 |
Phone Number: | 8309963701 |
Fax Number: | 8309963749 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 02/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 238956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |