Individual
KRISTI Z TRUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3001 LAKE BROOK BLVD STE 101, KNOXVILLE, TN 37909-3761
(865) 374-0600
Mailing address
3001 LAKE BROOK BLVD STE 101, KNOXVILLE, TN 37909-3761
(865) 374-0600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN0000115693
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3640533
—
TN
01
—
4108257
BCBS
TN
01
—
TN0104
JOHN DEERE
TN
Enumeration date
07/20/2006
Last updated
02/01/2023
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