person
Keely Nicole Grant-mirle, DNP,APRN,FNP-BC
Family Nurse Practitioner in Mansfield, Texas
NPI 1093117848

Keely Nicole Grant-mirle is a Family Nurse Practitioner based in Mansfield, TX and is specialized in Family. Keely Nicole Grant-mirle practices in Mansfield, TX and has the professional credentials of DNP,APRN,FNP-BC. The NPI Number for Keely Nicole Grant-mirle is 1093117848 and holds a License No. AP126492 (Texas).

The current practice location address for Keely Nicole Grant-mirle is 733 Highway 287 N Ste 405, Mansfield, TX and can be reached out via phone at 682-936-1311 and via fax at 682-316-9950.

Location: 733 Highway 287 N Ste 405, Mansfield, TX, 76063-3866
person
Provider Profile Details
NPI Number
1093117848
Provider Name
Keely Nicole Grant-mirle
Credential
DNP,APRN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
733 Highway 287 N Ste 405, Mansfield, TX, 76063-3866
Phone Number
682-936-1311
Fax Number
682-316-9950
Provider Enumeration Date
09/24/2014
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
345791301 05 TX
8726NP 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
733 Highway 287 N Ste 405
City
State
Zip
76063-3866
Phone Number
682-936-1311
Fax Number
682-316-9950
person
Provider Business Mailing Address Details
Address
733 Highway 287 N Ste 405
City
State
Zip
76063-3866
Phone Number
682-936-1311
Fax Number
682-316-9950
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP126492 (Texas)
Definition
Definition to come...
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