Individual provider · Type 1 NPI

Kristen Lissenden, CRNP

Pediatric Nurse Practitioner · Allentown, PA

NPI number 1104226190 Active

Practice location

1210 S Cedar Crest Blvd, Ste 2400
Allentown, PA 18103-6229

Call (610) 402-3888 Map

Fax (610) 402-3893

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	SP014081 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104226190

Kristen Lissenden, CRNP's National Provider Identifier is 1104226190, issued on Aug 27, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Allentown, PA. The record was last updated on Jan 29, 2018.