Basic Information
| Provider Information | |||||||||
| NPI: | 1497115026 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KATHERINE L. VAN NOY, APRN, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8401 LOOKOUT CLIFF PASS | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787378550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8312387819 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2700 BEE CAVES RD STE 203 | ||||||||
| Address2: | |||||||||
| City: | ROLLINGWOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787465675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123287222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2016 | ||||||||
| LastUpdateDate: | 02/24/2016 | ||||||||
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| AuthorizedOfficialLastName: | VAN NOY | ||||||||
| AuthorizedOfficialFirstName: | KATHERINE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PMHNP | ||||||||
| AuthorizedOfficialTelephone: | 8312387819 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PMHNP-BC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | AP121966 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.