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NPI Code Detail

MEDICARE: KRISTIN AYDELOTTE

MEDICARE: KRISTIN AYDELOTTE
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 Practitioner913206TX

General Provider Information

NPI Number : 1710838743
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN AYDELOTTE
Provider Business Mailing Address
First Line : 29 TAFT AVE
Second Line :
City : LUMBERTON
State : TX
Zip : 77657-7417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2555 JIMMY JOHNSON BLVD
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2007
Country : US
Telephone Number : 409-724-7389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ KRISTIN AYDELOTTE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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