Kidd, Mystii Ellen
Kidd, Mystii Ellen is an individual health care provider with primary practice located at 4001 W 15Th St Ste 350 , Plano TX 75093-5863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Kidd, Mystii Ellen can be contacted via phone (972) 596-2131.Contact Information
Primary practice address
4001 W 15Th St Ste 350
Plano TX 75093-5863
Phone: (972) 596-2131
Fax: (682) 303-2031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP107293 | Texas |
Profile Details
| NPI number | 1437439221 |
|---|---|
| LBN Legal business name | Kidd, Mystii Ellen |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2011 |
| Last updated | Jul 25th, 2022 - about 2 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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