CHRISTINE ZETHRAUS P/MHNP NPI 1639423452

NPI Information

NPI: 1639423452
Provider Name: CHRISTINE ZETHRAUS, P/MHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1000 SAINT LOUIS AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 702-8020
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Christine Zethraus, P/MHNP is a psychiatric/mental health nurse practitioner in Fort Worth, TX with 12 years of experience. Christine Zethraus, P/MHNP NPI is 1639423452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 SAINT LOUIS AVE
FORT WORTH, TX
ZIP 76104-366
Phone: (817) 702-8020

The NPI 1639423452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2012 and was last updated on 3/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP122782	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	751054	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01277788	OTHER	TEXAS	RAILROAD MEDICARE
2	892N17	OTHER	TEXAS	BCBS
3	312788801	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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