MEDICARE: MS. GERRYL LANDRY KRILIC NBC-HWC

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	174H00000X	Health Educator		TX
2	133NN1002X	Nutrition Education Nutritionist		TX

General Provider Information

NPI Number	:	1053962761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GERRYL LANDRY KRILIC NBC-HWC

Provider Business Mailing Address
First Line	:	3975 HONEYCUTT DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-1002
Country	:	US
Telephone Number	:	469-269-0772
Fax Number	:

Provider Business Practice Location Address
First Line	:	FRISCOFIT CITY PREDIABETES PREVENTION FOR ALL AGES
Second Line	:	3975 HONEYCUTT DRIVE
City	:	FRISCO
State	:	TX
Zip	:	75033-7503
Country	:	US
Telephone Number	:	469-269-0772
Fax Number	:

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

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	06/20/2025

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