Kristy Lynn Mixan

NPI 1104965896 - Counselor - 101Y00000X

NPI Details
NPI 1104965896
Gender Female
Enumeration Date 02/06/2007
Last Updated 11/22/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
425 N 30TH ST
OMAHA NE, 68131-2100, US
Phone (402) 452-5000
Fax (402) 452-5028
Business Location
555 N 30TH ST
OMAHA NE, 68131-2136, US
Phone (402) 280-8100
Fax (402) 280-8103
Taxonomy Code 101Y00000X
License State Nebraska
License Number 1422
Remove 1104965896 NPI Number

According to our database, Ms. Kristy Lynn Mixan NPI is 1104965896, taxonomy code is 101Y00000X and license number is 1422, license state is located at Nebraska. Kristy Lynn Mixan physically located at 425 N 30th St, Omaha NE, 68131-2100. NPI Number Kristy Lynn Mixan has the Individual type.

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1104965896 NPI number is provided on an as is basis without warranty of any kind. 1104965896 is maintained by the National Plan & Provider Enumeration System. The contents of Kristy Lynn Mixan are for informational purposes only.