Healthcare Provider Details

I. General information

NPI: 1285660662
Provider Name (Legal Business Name): KATHRYN ANN LLOYD-WATKINS APN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 SOUTH 1ST STREET SOUTH AUSTIN COMMUNITY HEALTH CENTER
AUSTIN TX
78704
US

IV. Provider business mailing address

2529 SOUTH 1ST STREET
AUSTIN TX
78704
US

V. Phone/Fax

Practice location:
  • Phone: 512-972-4722
  • Fax: 512-972-4662
Mailing address:
  • Phone: 512-972-4722
  • Fax: 512-972-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number429536
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: