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NPI Code Detail

MEDICARE: KRISTIN NICOLE SPAIN FNP-BC

MEDICARE: KRISTIN NICOLE SPAIN FNP-BC
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
1163W00000XRegistered Nurse733338TX
2363LF0000XFamily Nurse PractitionerAP120070TX

General Provider Information

NPI Number : 1366741951
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN NICOLE SPAIN FNP-BC
Provider Business Mailing Address
First Line : 5294 BELT LINE RD UNIT 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-7571
Country : US
Telephone Number : 877-373-9974
Fax Number :
Provider Business Practice Location Address
First Line : 5294 BELT LINE RD UNIT 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-7571
Country : US
Telephone Number : 877-373-9974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2011
Last Update Date : 09/23/2025

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Directions to “ KRISTIN NICOLE SPAIN FNP-BC” Practice Location

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