Individual provider · Type 1 NPI
Fionna Lei Crisostomo
Family Nurse Practitioner · Frederick, MD
NPI number
1972470748
Active
Practice location
2430 Osprey Way Ste C
Frederick, MD 21701-1957
Mailing address
6002 Forum Sq
Frederick, MD 21703-2889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R244586 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972470748
Fionna Lei Crisostomo's National Provider Identifier is 1972470748, issued on Oct 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Frederick, MD. The record was last updated on Oct 17, 2025.