Individual
KRISTINE LYNN FASTENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 S PENN ST STE 203, ABERDEEN, SD 57401-4553
(605) 225-7326
Mailing address
310 S PENN ST STE 203, ABERDEEN, SD 57401-4553
(605) 225-7326
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CP002347
SD
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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