Misty Dawn Lytle, FNP-C
Nurse Practitioner, Family in Austin, TX. Individual provider (NPI-1).
NPI number1891059622
StatusActive
Last updated in NPPESApr 19, 2016
Details
- NPI
- 1891059622
- Entity type
- Individual (NPI-1)
- Name
- Misty Dawn Lytle
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2012
- Last updated
- Apr 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP121315 | TX | Yes |
| 363LF0000X | Nurse Practitioner, Family | 670751 | TX |
Practice location
9411 N Lamar Blvd Ste 120Austin, TX 78753-4179
Phone 512-744-6000
Mailing address
9411 N Lamar Blvd Ste 120Austin, TX 78753-4179
Phone 512-583-9679 · Fax 512-233-0985
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