Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIMI SONG IDICULA, NP
ActiveMIMI SONG IDICULA, NP is a Nurse Practitioner healthcare provider located in IRVING, Texas. NPI 1003009580 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · IRVING, TX
Registration Details
- NPI Number
- 1003009580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2007 (18.997119348737 yrs)
- Last Updated
- Jul 13, 2021
- Licenses
-
10049 (TX)AP137449 (TX)
Practice Information
- Address
-
6161 N STATE HIGHWAY 161IRVING, TX, 750382220Browse TX providers · Browse ZIP 75038
- Phone
- 9722587499
- Fax
- 9722570897
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in IRVING, TX
| Name | Credential | NPI |
|---|---|---|
| MARGARET IRENE SCHMIDT | — | 1881690907 |
| DIANA JOYCE MCMAINS | NP | 1881680650 |
| LAURA VAUGHAN MRNUSTIK | N.P. | 1699717702 |
| BARBRA DALE JEFFERIES | R.N. | 1962431106 |
| PRISCILLIA MADUEKE | — | 1902810393 |
| TUAN MINH NGUYEN | ENP | 1588716393 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.