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Individual

MRS. KRISTA JO ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
24 FITHIAN DR, NEW CASTLE, DE 19720-3208
(239) 247-1170
Mailing address
24 FITHIAN DR, NEW CASTLE, DE 19720-3208
(239) 247-1170

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L2-0044863
DE
163W00000X
Registered Nurse
RN9296238
FL

Other

Enumeration date
08/02/2016
Last updated
08/02/2016
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