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NPI 1053772053 · live from the CMS NPI Registry

Kim Andrews, CPNP

Nurse Practitioner, Primary Care in Mckinney, TX. National Provider Identifier 1053772053, active.

NPI record

NPI1053772053 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Primary Care 363LP2300X
Practice location1872 N Lake Forest Dr, Mckinney, TX 75071
Practice phone972-548-0758
Mailing addressPo Box 733784, Dallas, TX 75373
EnumeratedMarch 17, 2016
Last updatedMay 18, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Primary Care primary363LP2300XAP130557 (TX)
Nurse Practitioner, Pediatrics363LP0200XAP130557 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.