Individual
KRISTY F SPERONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 713-6229
Mailing address
1 WYNFORD PL, BLYTHEWOOD, SC 29016-7866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2612
SC
363LF0000X
Family Nurse Practitioner
Primary
2612
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576005963
TAX ID #
SC
Enumeration date
12/20/2006
Last updated
09/12/2016
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