Individual
KRYSTAN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9101 E HIGHWAY 67 LOT 148, ALVARADO, TX 76009-4018
(601) 466-0467
Mailing address
PO BOX 593, ALVARADO, TX 76009-0593
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
976871
TX
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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