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Individual

KRISTA KANYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, RN

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN598267
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01060400
NJ
363LP0200X
Pediatric Nurse Practitioner
SP012776
PA

Other

Enumeration date
02/26/2013
Last updated
09/27/2021
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