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Individual

MS. KRISTINA LEAH REARDON

Active
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Individual

MS. KRISTINA LEAH REARDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
811965
TX
163W00000X
Registered Nurse
RN567319
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
811965
TX
363LA2200X
Adult Health Nurse Practitioner
SP009505
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
316409704
TX
Enumeration date
04/16/2009
Last updated
02/21/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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