Individual provider · Type 1 NPI

Krista K. Sidell, NP

Nurse Practitioner · Charlotte, NC

NPI number 1184624751 Active

Practice location

1718 E 4th St, Suite 105
Charlotte, NC 28204-3261

Fax (704) 384-8880

Mailing address

PO Box 601529
Charlotte, NC 28260-1529

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X900366 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184624751

Krista K. Sidell, NP's National Provider Identifier is 1184624751, issued on Jul 26, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 7, 2013.