Provider Demographics
NPI:1396508040
Name:VELDHUIS, CLOE KATHERINE (APRN FNP)
Entity type:Individual
Prefix:
First Name:CLOE
Middle Name:KATHERINE
Last Name:VELDHUIS
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:910 E WHITESTONE BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9093
Practice Address - Country:US
Practice Address - Phone:512-260-6100
Practice Address - Fax:512-260-6129
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX914392163W00000X
TX1168322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse