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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MIMI S IDICULA, NP
1717 W UNIVERSITY DR
#408
MCKINNEY, TX75069
 Phone: 972-548-2600
 Fax: 972-548-2610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MIMI S IDICULA · (Female)

NPI # 1003009580
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/20/2007
Last updated 08/24/2018 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • TX License # 10049
  • TX License # AP137449
  • TX Other AP137449 NURSE PRACTITIONER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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