Individual
KRISTIN MARIE LAVIGNE FADALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4402
(850) 325-9000
Mailing address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9305978
FL
Other
Enumeration date
01/27/2009
Last updated
07/29/2016
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