Individual provider · Type 1 NPI
Kristina Leah Reardon, CRNP
Adult Health Nurse Practitioner · Fort Worth, TX
NPI number
1205079464
Active
Practice location
800 5th Ave Ste 500
Fort Worth, TX 76104-7304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN567319 (PA) |
| Registered Nurse | 163W00000X | 811965 (TX) |
| Adult Health Nurse Practitioner | 363LA2200X | SP009505 (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 811965 (TX) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1205079464
Kristina Leah Reardon, CRNP's National Provider Identifier is 1205079464, issued on Apr 16, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 21, 2022.