Individual provider · Type 1 NPI
Abi Mikkel Provence, MSN, FNP-BC & FNP-C
Primary Care Nurse Practitioner · Arlington, TX
NPI number
1922587872
Active
Practice location
6108 Shorewood Dr
Arlington, TX 76016-2649
Mailing address
PO Box 170428
Arlington, TX 76003-0428
Other practice locations
- 1811 Highway 287 N, Mansfield, TX 76063-7571
- 4740 W University Dr Ste 190, Prosper, TX 75078-9092 · (469) 716-4950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP138443 (TX) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1922587872
Abi Mikkel Provence, MSN, FNP-BC & FNP-C's National Provider Identifier is 1922587872, issued on Aug 11, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Arlington, TX. The record was last updated on Nov 27, 2023.