Provider Demographics
NPI:1215386149
Name:KASPRISIN, MARY ELIZABETH (NP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:KASPRISIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2701 W 15TH ST
Mailing Address - Street 2:SUITE 629
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7523
Mailing Address - Country:US
Mailing Address - Phone:972-612-4999
Mailing Address - Fax:972-612-1555
Practice Address - Street 1:1600 COIT RD
Practice Address - Street 2:BLDG 1 SUITE 206
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6174
Practice Address - Country:US
Practice Address - Phone:972-612-4999
Practice Address - Fax:972-612-1555
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2023-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP128772363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health