Provider Demographics
NPI:1073105086
Name:MCGUIRE, KRISTIN DEBORAH (FNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:DEBORAH
Last Name:MCGUIRE
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 KING STREET STATION PKWY APT 32004
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5337
Mailing Address - Country:US
Mailing Address - Phone:540-522-8038
Mailing Address - Fax:
Practice Address - Street 1:7560 GLENVIEW DR STE 110
Practice Address - Street 2:
Practice Address - City:RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8374
Practice Address - Country:US
Practice Address - Phone:817-284-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015281363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner