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Individual
MRS. KRISTA BROWN
Active
Individual
MRS. KRISTA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP110343
TX
363LF0000X
Family Nurse Practitioner
CNP-02125
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111938002
—
TX
05
—
111938003
—
TX
01
—
742823514
TAX ID
NM
01
—
800521089
MEDICARE GROUP
NM
01
—
Z2565
MEDICAID GROUP
NM
Enumeration date
02/22/2007
Last updated
03/11/2015
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