Individual provider · Type 1 NPI
Mini Iype
Family Nurse Practitioner · Sunnyvale, TX
NPI number
1043744154
Active
Practice location
360 Pedmore Dr.
Sunnyvale, TX 75182
Mailing address
360 Pedmore Dr
Sunnyvale, TX 75182-3247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP133628 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043744154
Mini Iype's National Provider Identifier is 1043744154, issued on Apr 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sunnyvale, TX. The record was last updated on Apr 14, 2017.