MRS. KIMBERLY KATHERYNE MIKLIS RN CPNP NNP NPI 1235313602

NPI Information

NPI: 1235313602
Provider Name: MRS. KIMBERLY KATHERYNE MIKLIS, RN, CPNP, NNP
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

Address:
3500 GASTON AVE
DALLAS, TX
ZIP 75246
Phone: (214) 820-0111
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MRS. Kimberly Katheryne Miklis, RN, CPNP, NNP is a neonatal and critical care nurse practitioner in Dallas, TX. MRS. Kimberly Katheryne Miklis, RN, CPNP, NNP NPI is 1235313602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3500 GASTON AVE
DALLAS, TX
ZIP 75246-017
Phone: (214) 820-0111

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	AP116494	TEXAS	No
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	693590	TEXAS	Yes
3	363LP0200X	Nurse Practitioner	Pediatrics	693590	TEXAS	No
4	363LP2300X	Nurse Practitioner	Primary Care	693590	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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