Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Mims

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174473599

Krystal Mims is a Student in an Organized Health Care Education/Training Program in Monroe, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

1235 State Route 208
Monroe, NY 10950-4611
Phone: (609) 373-3488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 976828918 (NY)

Record details

NPI number1174473599
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address1235 State Route 208, Monroe, NY 10950-4611

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