Individual
KRISTI LEIGH FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1551 BISHOP ST STE 203, SAN LUIS OBISPO, CA 93401-4635
(805) 434-5530
(805) 434-0023
Mailing address
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401-4661
(805) 434-5530
(805) 434-0023
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95019483
CA
Other
Enumeration date
02/08/2022
Last updated
08/08/2024
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