Individual
MISS KRISTA RAE NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1411 COLLEGE DR, TEXARKANA, TX 75503-3533
(903) 791-1110
(903) 794-2979
Mailing address
1400 COLLEGE DR STE 204, TEXARKANA, TX 75503-3575
(903) 791-1110
(903) 794-2979
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP122976
TX
Other
Enumeration date
12/08/2011
Last updated
08/28/2023
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