Individual
KRISTEN GAMM
Active
Individual
KRISTEN GAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN.305901-1
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.17500
OH
363LP0200X
Pediatric Nurse Practitioner
COA.17500-NP
OH
Other
Enumeration date
08/11/2015
Last updated
01/19/2017
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