Individual
MISTY HEATHER MCNABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP BC APRN
Contact information
Practice address
8501 WADE BLVD STE 110, FRISCO, TX 75034-6262
(972) 668-3109
Mailing address
9164 CRANSTON CT, PROVIDENCE VILLAGE, TX 76227-5802
(214) 554-5321
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1007364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35509
PRESCRIPTIVE AUTHORITY NUMBER FOR TEXAS BOARD OF NURSING
TX
Enumeration date
08/14/2020
Last updated
08/14/2020
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