Mimi Song Idicula in Irving - Nurse Practitioner
Mimi Song Idicula - NPI 1003009580
Mimi Song Idicula is a Nurse Practitioner in Irving, Texas. Mimi Song Idicula practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mimi Song Idicula is 1003009580. The last update date is 2021-07-13.
Mimi Song Idicula's current location address is 6161 N State Highway 161, Irving, Texas. You can contact this provider via phone number 9722587499 and fax number 9722570897. The mailing address for Mimi Song Idicula is 6161 N State Highway 161, Irving, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mimi Song Idicula |
|---|---|
| Address | 6161 N State Highway 161, Irving, Texas |
| Phone Number | 9722587499 |
| Fax Number | 9722570897 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1003009580 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2021-07-13 |
Provider Mailing Address Detail
| Address | 6161 N State Highway 161 |
|---|---|
| City | Irving |
| State | Texas (TX) |
| Post Code | 750382220 |
| Phone Number | 9722587499 |
| Fax Number | 9722570897 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP137449 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AP137449 | TX | NURSE PRACTITIONER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mimi Song Idicula by the Centers for Medicare & Medicaid Services?
The Mimi Song Idicula has been assigned the NPI (National Provider Identifier) 1003009580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mimi Song Idicula's facilities are situated?
The facilities of Mimi Song Idicula are physically located at the following address: 6161 N State Highway 161, Irving, TX, 750382220.
What is Mimi Song Idicula's area of expertise and its corresponding taxonomy classification?
The Mimi Song Idicula's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
When was the Mimi Song Idicula's 1003009580 issued?
The Mimi Song Idicula's 1003009580 was issued on 2007-08-20.
When was the information related to Mimi Song Idicula most recently updated or refreshed?
The details pertaining to the Mimi Song Idicula, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-13.
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