Provider Demographics
NPI:1538305438
Name:MILLS, KARYN ELAINE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KARYN
Middle Name:ELAINE
Last Name:MILLS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 COUNTY ROAD 109
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-9353
Mailing Address - Country:US
Mailing Address - Phone:361-661-1046
Mailing Address - Fax:
Practice Address - Street 1:213 S DUVAL ST
Practice Address - Street 2:
Practice Address - City:MATHIS
Practice Address - State:TX
Practice Address - Zip Code:78368-2613
Practice Address - Country:US
Practice Address - Phone:361-547-4121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX619200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily