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NPI Code Detail

MEDICARE: KRISTINA MARGARET CLAYBURN FNP

MEDICARE: KRISTINA MARGARET CLAYBURN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP136089TX

General Provider Information

NPI Number : 1174000103
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA MARGARET CLAYBURN FNP
Provider Business Mailing Address
First Line : 9012 BILL HICKCOCK PASS
Second Line :
City : AUSTIN
State : TX
Zip : 78748-6336
Country : US
Telephone Number : 832-493-1551
Fax Number :
Provider Business Practice Location Address
First Line : 600 ELIZABETH ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78404-2235
Country : US
Telephone Number : 361-881-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 12/30/2025

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