Individual
KRISTINE ELLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
706 AVENUE G, MARBLE FALLS, TX 78654-5866
(830) 201-8900
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1129704
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1129704
TX
Other
Enumeration date
08/07/2023
Last updated
02/14/2024
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