Individual provider · Type 1 NPI

McCrae Mutisya

Psychiatric/Mental Health Nurse Practitioner · Richardson, TX

NPI number 1114864287 Active

Practice location

401 W Campbell Rd
Richardson, TX 75080-3416

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1616120 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114864287

McCrae Mutisya's National Provider Identifier is 1114864287, issued on Apr 29, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richardson, TX. The record was last updated on Apr 29, 2026.