Individual
MIRANDA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, ACNP-BC
Contact information
Practice address
9250 PINECROFT DR, SHENANDOAH, TX 77380-3218
(713) 897-2332
Mailing address
9250 PINECROFT DR, SHENANDOAH, TX 77380-3218
(281) 703-7976
(713) 897-3214
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
542153
TX
Other
Enumeration date
05/02/2012
Last updated
12/10/2025
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