Kristina M Dibartolo, FNP
Nurse Practitioner, Family in Summerville, SC. Individual provider (NPI-1).
NPI number1033711981
StatusActive
Last updated in NPPESMar 4, 2022
Details
- NPI
- 1033711981
- Entity type
- Individual (NPI-1)
- Name
- Kristina M Dibartolo
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2020
- Certification date
- Mar 3, 2022
- Last updated
- Mar 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 25819 | SC | Yes |
| 363LF0000X | Nurse Practitioner, Family | RN2300900 | MA |
Practice location
90 Springview Ln # ASummerville, SC 29485-8153
Phone 843-832-9113 · Fax 843-832-9114
Mailing address
90 Springview Ln # ASummerville, SC 29485-8153
Phone 843-832-9113 · Fax 843-832-9114
Other practice locations
5 Macy St
Amesbury, MA 01913-3706
Amesbury, MA 01913-3706
Phone 978-834-0300
215 Alewife Brook Pkwy
Cambridge, MA 02138-1101
Cambridge, MA 02138-1101
Phone 617-661-6422
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