Individual
KIMBERLY NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
4015 22ND PL, LUBBOCK, TX 79410-1119
(806) 725-0000
Mailing address
4015 22ND PL, LUBBOCK, TX 79410-1119
(806) 725-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1088175
TX
Other
Enumeration date
04/28/2023
Last updated
05/16/2024
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