Organization · Type 2 NPI

Vida Keller Riston RN CNM PC

Family Nurse Practitioner · Beaumont, TX

NPI number 1255776498 Active

Practice location

2929 Calder St
Beaumont, TX 77702-1845

Fax (409) 838-0496

Mailing address

PO Box 12667
Beaumont, TX 77726-2667

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X540793 (TX)
Advanced Practice Midwife 367A00000X540793 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1255776498

Vida Keller Riston RN CNM PC's National Provider Identifier is 1255776498, issued on May 1, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beaumont, TX. The record was last updated on May 1, 2013.