Organization
IKNOW CPR AND MORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL OUTLAW FNP-C (OWNER)
(757) 748-4643
Entity
Organization
Contact information
Practice address
3140 CANNON DR, MANSFIELD, TX 76063-5533
(469) 686-5551
Mailing address
3140 CANNON DR, MANSFIELD, TX 76063-5533
(757) 748-4643
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
01/18/2022
Last updated
01/25/2023
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