Provider Demographics
NPI:1952025579
Name:LIMB, KRYSTAL DAWN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KRYSTAL
Middle Name:DAWN
Last Name:LIMB
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15203 WOODLAND ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5524
Mailing Address - Country:US
Mailing Address - Phone:832-247-8348
Mailing Address - Fax:
Practice Address - Street 1:15203 WOODLAND ORCHARD LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5524
Practice Address - Country:US
Practice Address - Phone:832-247-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1095240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily