Provider Demographics
NPI:1689397366
Name:O'BANION, KRISTIN NICOLE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:NICOLE
Last Name:O'BANION
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Other - Middle Name:
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Mailing Address - Street 1:10507 QUAKER AVE UNIT 205
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8441
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7301 MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-0626
Practice Address - Country:US
Practice Address - Phone:806-761-0464
Practice Address - Fax:806-698-6710
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1094705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily