Provider Demographics
NPI:1700079811
Name:FLANNIGAN, CATHERINE ELIZABETH (RNFA, APRN-C)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:FLANNIGAN
Suffix:
Gender:F
Credentials:RNFA, APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11611 KENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-5084
Mailing Address - Country:US
Mailing Address - Phone:214-240-7099
Mailing Address - Fax:
Practice Address - Street 1:1001 TOWSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-4921
Practice Address - Country:US
Practice Address - Phone:479-709-7435
Practice Address - Fax:479-709-7437
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX630803163WR0006X
TX1028600363LF0000X
AK202059363LF0000X
AR234379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant