Kristina Everhart
Nurse Practitioner in Rockwell, NC. Individual provider (NPI-1).
NPI number1104516152
StatusActive
Last updated in NPPESNov 28, 2023
Details
- NPI
- 1104516152
- Entity type
- Individual (NPI-1)
- Name
- Kristina Everhart
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2023
- Certification date
- Nov 28, 2023
- Last updated
- Nov 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5018765 | NC | Yes |
| 163W00000X | Registered Nurse | 323613 | NC | |
| 363LP2300X | Nurse Practitioner, Primary Care | 5018765 | NC |
Practice location
316 W Main StRockwell, NC 28138-8471
Phone 704-279-1046 · Fax 704-279-1603
Mailing address
Po Box 60447Charlotte, NC 28260-0447
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