person
Mona Kidwell, NP
Adult Health Nurse Practitioner in League City, Texas
NPI 1043571243

Mona Kidwell is an Adult Health Nurse Practitioner based in League City, TX and is specialized in Adult Health. Mona Kidwell practices in League City, TX and has the professional credentials of NP. The NPI Number for Mona Kidwell is 1043571243 and holds a License No. 508280 (Texas).

The current practice location address for Mona Kidwell is 2785 Gulf Fwy S, League City, TX and can be reached out via phone at 832-816-1370.

Location: 2785 Gulf Fwy S, League City, TX, 77573-4979
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Provider Profile Details
NPI Number
1043571243
Provider Name
Mona Kidwell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2785 Gulf Fwy S, League City, TX, 77573-4979
Phone Number
832-816-1370
Fax Number
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88N956 01 TX BCBS
3031130-01 05 TX
2035487-02 05 TX
P01095012 01 TX RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2785 Gulf Fwy S
City
State
Zip
77573-4979
Phone Number
832-816-1370
Fax Number
person
Provider Business Mailing Address Details
Address
2785 Gulf Fwy S
City
State
Zip
77573-4979
Phone Number
832-816-1370
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
508280 (Texas)
Definition
Definition to come...
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