Individual
KRISTINA N NIEHANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 W CRANFORD AVE, VALDOSTA, GA 31602-2930
(229) 247-7350
(229) 468-0042
Mailing address
105 W CRANFORD AVE, VALDOSTA, GA 31602-2930
(229) 247-7350
(229) 242-1730
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN143057
GA
Other
Enumeration date
05/19/2009
Last updated
11/06/2024
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