Individual
KRISTINA M DIBARTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
90 SPRINGVIEW LN # A, SUMMERVILLE, SC 29485-8153
(843) 832-9113
(843) 832-9114
Mailing address
90 SPRINGVIEW LN # A, SUMMERVILLE, SC 29485-8153
(843) 832-9113
(843) 832-9114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25819
SC
363LF0000X
Family Nurse Practitioner
RN2300900
MA
Other
Enumeration date
11/14/2020
Last updated
03/04/2022
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