Individual
MRS. KRISTA LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-9458
(704) 355-4002
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-9458
(704) 355-4002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18431
SC
363LF0000X
Family Nurse Practitioner
Primary
263680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922429000
—
NC
05
—
NP2807
—
SC
Enumeration date
12/17/2013
Last updated
08/07/2014
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