Individual
KRISTA THREATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N 20TH ST STE 20A, OPELIKA, AL 36801-5456
(334) 749-6523
(334) 742-0242
Mailing address
121 N 20TH ST STE 20A, OPELIKA, AL 36801-5456
(334) 749-6523
(334) 742-0242
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1-145087
AL
363L00000X
Nurse Practitioner
Primary
1-145087
AL
Other
Enumeration date
06/05/2025
Last updated
03/05/2026
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