Individual
MISTY MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
910 RIVER RD STE 101, BOERNE, TX 78006-2441
(830) 331-2391
Mailing address
309 CREEKVIEW WAY, NEW BRAUNFELS, TX 78130-6454
(214) 870-6996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
744411
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1019886
TX
363LF0000X
Family Nurse Practitioner
1019886
TX
Other
Enumeration date
11/22/2020
Last updated
07/14/2024
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