Mimi Idicula, NP
NPI 1003009580 · Nurse Practitioner · Irving, TX
Mimi Idicula, NP is a Nurse Practitioner provider in Irving, TX (NPI 1003009580).
Provider details
- NPI number
- 1003009580
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 10049 (TX)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2021-07-13
- Certified
- 2021-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.