Edie, Kizzie Denise

Edie, Kizzie Denise is an individual health care provider with primary practice located at 239 W Business 190 , Copperas Cove TX 76522-2912. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Edie, Kizzie Denise can be contacted via phone (254) 542-9000.

Contact Information

Primary practice address
239 W Business 190 Copperas Cove TX 76522-2912
Fax: (254) 542-9001
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 862603 Texas
Nursing Service Providers / Registered Nurse 163W00000X 658567-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP135281 Texas

Profile Details

NPI number 1679083380
LBN Legal business name Edie, Kizzie Denise
Credentials MSN, RN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2017
Last updated Aug 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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