Provider Demographics
NPI:1538255781
Name:DAPP, KRISTIE S (APRN-BC,FNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:S
Last Name:DAPP
Suffix:
Gender:F
Credentials:APRN-BC,FNP
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:S
Other - Last Name:WADDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5618 BRIAR KNL
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-5276
Mailing Address - Country:US
Mailing Address - Phone:830-708-3962
Mailing Address - Fax:
Practice Address - Street 1:1340 WONDER WORLD DR STE 2300
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666
Practice Address - Country:US
Practice Address - Phone:512-654-4900
Practice Address - Fax:512-654-4901
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP114983363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679838OtherADVANCED PRACTICE RN LICE
TX332749601Medicaid
TX679838OtherADVANCED PRACTICE RN LICE