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1669993473

NPI Code Detail

MEDICARE: MIREILLE DZIUK APRN, FNP-C

MEDICARE: MIREILLE DZIUK APRN, FNP-C

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
1	207Q00000X	Family Medicine Physician	219407	AR
2	207Q00000X	Family Medicine Physician	224904	LA
3	207Q00000X	Family Medicine Physician	114163	TN
4	207Q00000X	Family Medicine Physician	72101	ID
5	207Q00000X	Family Medicine Physician	4704387568	MI
6	207Q00000X	Family Medicine Physician	AP134277	TX
7	207Q00000X	Family Medicine Physician	A168019	IA
8	207Q00000X	Family Medicine Physician	355428	NY
9	363LF0000X	Family Nurse Practitioner	AP134277	TX
10	207Q00000X	Family Medicine Physician	0002010	CO
11	207Q00000X	Family Medicine Physician	49615	WY
12	207Q00000X	Family Medicine Physician	852298	NV
13	207Q00000X	Family Medicine Physician	114163	NE
14	207Q00000X	Family Medicine Physician	0003884	CO
15	207Q00000X	Family Medicine Physician	71012589A	IN

General Provider Information

NPI Number	:	1669993473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIREILLE DZIUK APRN, FNP-C

Provider Business Mailing Address
First Line	:	7442 S STAPLES ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-5316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7442 S STAPLES ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-5316
Country	:	US
Telephone Number	:	361-991-0289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2017
Last Update Date	:	10/11/2025

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Directions to “ MIREILLE DZIUK APRN, FNP-C” Practice Location

Language	Start Address	Practice Location

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