Individual
KRISTINA JEAN PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
308 HUDSPETH ST, SONORA, TX 76950-8003
(325) 387-2521
(325) 387-2396
Mailing address
PO BOX 455, SONORA, TX 76950-0455
(325) 387-2521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1019613
TX
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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