Individual
MRS. KRISTI DRIVER BRENDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5012061
NC
363LF0000X
Family Nurse Practitioner
Primary
5012061
NC
Other
Enumeration date
07/29/2019
Last updated
08/08/2019
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