Individual
MIAOJUAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
4100 FAIRWAY DR STE 300, CARROLLTON, TX 75010
(972) 492-8880
(972) 492-8818
Mailing address
4100 FAIRWAY DR STE 300, CARROLLTON, TX 75010-6537
(972) 492-8880
(972) 492-8818
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129889
TX
Other
Enumeration date
01/06/2016
Last updated
11/16/2018
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