Most Relevant Information
Provider Data
| NPI Number: | 1003238353 |
| Provider Name: | MISTI LIDEN FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | F1113015 |
Most Important Dates
| Enumeration Date: | 01/06/2014 |
| Last Updated: | 06/17/2024 |
Provider Practice Location
201 CLINITE GROVE BLVD STE 130
TEMPLE
TX
765022354
Practice Location Phone/Fax
| Phone: | 2543148699 |
| Fax: |
Provider Mailing Location
201 CLINITE GROVE BLVD STE 130
TEMPLE
TX
765022354
Provider Mailing Phone/Fax
| Phone: | 2543148699 |
| Fax: |