Individual provider · Type 1 NPI
Mimi Song Idicula, NP
Nurse Practitioner · Irving, TX
Practice location
6161 N State Highway 161
Irving, TX 75038-2220
Fax (972) 257-0897
Other practice locations
- 1717 W University Dr, #408, Mckinney, TX 75069 · (972) 548-2600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 10049 (TX) |
| Nurse Practitioner Primary | 363L00000X | AP137449 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
12 other providers at this address
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- Abigail Lewadowski Soto, PA-CMedical Physician Assistant Irving, TX NPI 1043458631
- Charles Lee Powell, MDFamily Medicine Physician Irving, TX NPI 1760458897
- George Larry Jones Jr., RPHPharmacist Irving, TX NPI 1154952133
- James Mark Anderson, MDFamily Medicine Physician Irving, TX NPI 1225004351
- Jeremy J. Liesveld, DC, FNP-CFamily Nurse Practitioner Irving, TX NPI 1417287046
- Mary C. Ward, DOFamily Medicine Physician Irving, TX NPI 1083687206
- Randi Dawn True, PAPhysician Assistant Irving, TX NPI 1326363128
- Stacy R. Moretta, P.A.Medical Physician Assistant Irving, TX NPI 1639309461
- Terrence M. Feehery, DOFamily Medicine Physician Irving, TX NPI 1821060559
- Walter Nicholas Gaman, MDFamily Medicine Physician Irving, TX NPI 1780650291
Other nurse practitioner providers in Irving
- Bilkish ChunaraNurse Practitioner Irving, TX NPI 1003233370
- Dyann Nicole MintonNurse Practitioner Irving, TX NPI 1013603950
- William Hernandez Leyva, FNP-C, APRNNurse Practitioner Irving, TX NPI 1033416284
- Cierra Nicole Thomas, RN, MSN, AGNPNurse Practitioner Irving, TX NPI 1043730971
- Dorrie TalmageNurse Practitioner Irving, TX NPI 1083045264
- Leoa A. Sanders, NPNurse Practitioner Irving, TX NPI 1093853921
- Ted Chan Kummer Jr., FNPNurse Practitioner Irving, TX NPI 1164736120
- Mundela TshilandaNurse Practitioner Irving, TX NPI 1194360644
About NPI 1003009580
Mimi Song Idicula, NP's National Provider Identifier is 1003009580, issued on Aug 20, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Irving, TX. The record was last updated on Jul 13, 2021.