Provider Demographics
NPI:1063840957
Name:ALEMAN, KRISTY MICHELLE (NP)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:MICHELLE
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1620 S PADRE ISLAND DR STE 550
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78416-1354
Mailing Address - Country:US
Mailing Address - Phone:361-206-0737
Mailing Address - Fax:361-206-0738
Practice Address - Street 1:1620 S PADRE ISLAND DR STE 550
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-1354
Practice Address - Country:US
Practice Address - Phone:361-206-0737
Practice Address - Fax:361-206-0738
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705408363L00000X
TXAP124550363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner