Mirra, Nicole
Mirra, Nicole is an individual health care provider with primary practice located at 15999 City Walk Ste 260 , Sugar Land TX 77479-6607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mirra, Nicole can be contacted via phone (713) 357-1888.Contact Information
Primary practice address
15999 City Walk Ste 260
Sugar Land TX 77479-6607
Phone: (713) 357-1888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 803007 | Texas |
Profile Details
| NPI number | 1821461922 |
|---|---|
| LBN Legal business name | Mirra, Nicole |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2015 |
| Last updated | Nov 11th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821461922 | NPPES |
| Texas | Other | 803007 | TEXAS BOARD OF NURSING |
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