Individual
MRS. KRISTEN D MCNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
(817) 754-1532
(817) 754-1565
Mailing address
1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
(817) 754-1532
(817) 754-1565
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1067911
TX
363LA2100X
Acute Care Nurse Practitioner
AA04678
AR
363LP0200X
Pediatric Nurse Practitioner
1067911
TX
363LP0200X
Pediatric Nurse Practitioner
A004678
AR
Other
Enumeration date
02/21/2016
Last updated
01/15/2026
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