Mary Carol Kistner, CPNP Valid NPI

Individual provider · Primary Care Nurse Practitioner · Fort Worth, TX

NPI

1174787345

Type

Individual (Type 1)

Primary specialty

Primary Care Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP2300X

License number

AP117015 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2008-07-16

Last updated

2024-07-03