Provider Demographics
NPI:1821548843
Name:DARDEN, KRYSLA (FNP-C)
Entity Type:Individual
Prefix:
First Name:KRYSLA
Middle Name:
Last Name:DARDEN
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 1:12 CANYON VIEW CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-2718
Mailing Address - Country:US
Mailing Address - Phone:940-782-2912
Mailing Address - Fax:
Practice Address - Street 1:12 CANYON VIEW CT
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76309-2718
Practice Address - Country:US
Practice Address - Phone:940-782-2912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132233363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily