Individual
KRYSTAL NICOLE SHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
13215 DOTSON RD STE 300, HOUSTON, TX 77070-4535
(281) 894-8822
(281) 897-1215
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1051896
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1051896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429104901
—
TX
05
—
429104902
—
TX
Enumeration date
09/07/2021
Last updated
07/15/2022
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