Individual
KRISTINA MOUCH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1650 W COLLEGE ST # 54, GRAPEVINE, TX 76051-3565
(817) 388-3600
(817) 388-3610
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137704
LA
363L00000X
Nurse Practitioner
Primary
AP133515
TX
363LA2100X
Acute Care Nurse Practitioner
AP08882
LA
Other
Enumeration date
06/17/2016
Last updated
04/22/2021
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