Individual
CRISTA MARIE FEDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
3443 DICKERSON PIKE, SUITE 720, NASHVILLE, TN 37207-2519
(615) 610-3925
Mailing address
310 25TH AVE N, SUITE 201, NASHVILLE, TN 37203-1515
(615) 610-3900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19446
TN
Other
Enumeration date
01/20/2015
Last updated
12/19/2016
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