Individual
KRISTTI LEI BIRONDO TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
4645 TIMBER RIDGE DR STE 100, DOUGLASVILLE, GA 30135-7542
(678) 702-3376
Mailing address
3320 PERIMETER HILL DR, NASHVILLE, TN 37211-4123
(615) 866-9040
(615) 750-5756
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1014530
TX
363LA2200X
Adult Health Nurse Practitioner
309683
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
32408
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q079530
—
TN
Enumeration date
11/09/2020
Last updated
04/16/2026
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