Individual
MRS. KRISTI RENE FAVOR
Active
Individual
MRS. KRISTI RENE FAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
130363
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689707887
—
MT
Enumeration date
03/14/2007
Last updated
08/05/2021
Update your record
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