Individual provider · Type 1 NPI

Kristen Lee Self

Pediatric Nurse Practitioner · Columbia, MD

NPI number 1821602582 Active

Practice location

5755 Cedar Ln
Columbia, MD 21044-2999

Mailing address

5839 Brandons Way
Elkridge, MD 21075-7301

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN199892 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1821602582

Kristen Lee Self's National Provider Identifier is 1821602582, issued on Sep 1, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbia, MD. The record was last updated on Sep 1, 2020.